Individual provider Active NPI

Kathy Delva, DDS

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1336559731
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401415001 Issued in VA
Practice address
200 Battlefield Blvd N
#4
Chesapeake, VA 23320-3975
Phone
(757) 769-7155
Fax
(888) 456-0253
NPI assigned
May 7, 2014
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401415001 VA Primary

Addresses

Primary practice location

200 Battlefield Blvd N
#4
Chesapeake, VA 23320-3975

Mailing address

200 Battlefield Blvd N
#4
Chesapeake, VA 23320-3975
Phone (757) 769-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20170123000893 VA Order and Referring Only - DentistPractitioner - Dentist 2264714583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401415001VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Katdel LLC CurrentSince Jul 25, 2021 Accepting new patients
Advanced Sedation Services, LLC Past Accepting new patients

Locations

200 Battlefield Blvd N
Ste 4
Chesapeake, VA 23320
Phone (757) 769-7155

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1336559731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BATTLEFIELD BLVD N",
            "address_2": "#4",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203975",
            "telephone_number": "757-769-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BATTLEFIELD BLVD N",
            "address_2": "#4",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203975",
            "telephone_number": "757-769-7155",
            "fax_number": "888-456-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVA",
        "first_name": "KATHY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.