NPIMap

Organization Active NPI

Jerry G Caravas, DDS, PC

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1386778900
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006102 Issued in VA
Legal business name
JERRY G CARAVAS, DDS, PC
Practice address
1539 Amberley Forest Rd
Virginia Beach, VA 23453-4706
Phone
(757) 471-6020
Fax
(757) 471-5205
NPI assigned
Mar 15, 2007
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Jerry G Caravas, DDS PRESIDENTNPI 1417963232
Title
Dentist Owner
Phone
(757) 471-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401006102 VA Primary

Addresses

Primary practice location

1539 Amberley Forest Rd
Virginia Beach, VA 23453-4706

Mailing address

1539 Amberley Forest Rd
Virginia Beach, VA 23453-4706
Phone (757) 471-6020

National Provider Directory

National Provider Directory

Locations

1539 Amberley Forest Rd
Virginia Beach, VA 23453
Phone (757) 471-6020

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1386778900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 AMBERLEY FOREST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534706",
            "telephone_number": "757-471-6020",
            "fax_number": "757-471-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 AMBERLEY FOREST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534706",
            "telephone_number": "757-471-6020",
            "fax_number": "757-471-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY G CARAVAS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "CARAVAS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "757-471-6020",
        "authorized_official_credential": "DDS PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.