Active NPI
Jessica Sencindiver, DDS
- Dentist
- Fort Eustis, VA
National Provider Identifier
1366920738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4331
- Practice address
- USA Dental Health Activity
577 Sternberg Ave
Fort Eustis, VA 23604 - Phone
- (757) 314-7944
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4331 | WV | Primary |
Addresses
Primary practice location
USA Dental Health Activity
577 Sternberg Ave
Fort Eustis, VA 23604
Mailing address
USA Dental Health Activity
577 Sternberg Ave
Fort Eustis, VA 23604
Phone (757) 314-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4331 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HQ US Army Dental Activities | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Newport News, VA
- NPI 1134504574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1366920738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USA DENTAL HEALTH ACTIVITY",
"address_2": "577 STERNBERG AVE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "23604",
"telephone_number": "757-314-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USA DENTAL HEALTH ACTIVITY",
"address_2": "577 STERNBERG AVE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "23604",
"telephone_number": "757-314-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENCINDIVER",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.