Active NPI
Trent Paul Conelias, DDS
- Oral and Maxillofacial Pathology Dentistry
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 0401411285
- Practice address
- 6033 Providence Rd
Virginia Beach, VA 23464-3815 - Phone
- (757) 424-2672
- Fax
- (757) 366-0482
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 029325L | PA | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 0401411285 | VA | Primary |
Addresses
Primary practice location
6033 Providence Rd
Virginia Beach, VA 23464-3815
Mailing address
6033 Providence Rd
Virginia Beach, VA 23464-3815
Phone (757) 424-2672
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
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6033 Providence Rd
Virginia Beach, VA 23464-3815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401411285 | VA | MD | Oral and Maxillofacial Pathology Dentist |
| 029325L | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trent P Conelias DDS, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Valley Oral Surgery PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Virginia Beach, VA
- NPI 1689011009
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 and National Provider Directory roles.
-
dba Eastern Virginia Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Virginia Beach, VA
- NPI 1265929913
-
- Oral and Maxillofacial Surgery (Dentist)
- Allentown, PA
- NPI 1043240013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1407840382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6033 PROVIDENCE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643815",
"telephone_number": "757-424-2672",
"fax_number": "757-366-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6033 PROVIDENCE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643815",
"telephone_number": "757-424-2672",
"fax_number": "757-366-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONELIAS",
"first_name": "TRENT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "029325L",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "VA",
"license": "0401411285",
"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 Sep 11, 2025; 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; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.