Veronica Longville, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12089 Issued in NC

Practice address

2715 Pinedale Rd
Greensboro, NC 27408-4713

Phone

(336) 379-8377

NPI assigned

Jan 4, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modlin & Londry Xviii DDS PLLC

  • Periodontics
  • Greensboro, NC
  • NPI 1881525392
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1295270916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 ADONICA LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109658",
            "telephone_number": "210-621-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 PINEDALE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084713",
            "telephone_number": "336-379-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGVILLE",
        "first_name": "VERONICA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "12089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott David Long, PA-C
• Susan Westlake Longerbone, LOC NCC CEAP MAC
• Kaori Miyata Longphre, MD
• Longs Rest Home for the Aged
• Longs Rest Home III
• Robert W Lonon, MD
• Christopher M Lootens, M.A.
• Pura M Lopez Davila, LPCA
• Jennifer Lopez Rojas
• Alejandra Lopez

• Periodontics in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.