Virginia M Mitchell DDS P C

Primary specialty

DentistTaxonomy code 122300000X

License

040954 Issued in NY

Legal business name

VIRGINIA M MITCHELL DDS P C

Practice address

14 Market St
Centereach, NY 11720-2246

Phone

(631) 588-8890

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Virginia M. Mitchell, D.D.S.NPI 1346394319

Title

Dentist/Owner

Phone

(631) 588-8890

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia M. Mitchell, DDS

  • General Practice Dentistry
  • Centereach, NY
  • NPI 1346394319
  NPD (past) Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1346780582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARKET ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202246",
            "telephone_number": "631-588-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MARKET ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202246",
            "telephone_number": "631-588-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA M MITCHELL DDS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "631-588-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "040954",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Centereach, NY
• Providers in Centereach, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.