Individual provider Active NPI

Trent Paul Conelias, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Virginia Beach, VA
National Provider Identifier
1407840382
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
0401411285 Issued in VA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000665 VA Practitioner - Oral Surgery 9436194545 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA; Virginia Beach, VA

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

LicenseStateTypeSpecialty
0401411285VAMDOral and Maxillofacial Pathology Dentist
029325LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Trent P Conelias DDS, PC Oral and Maxillofacial Surgery PastSince Jan 1, 1990 Accepting new patients
Valley Oral Surgery PC Oral and Maxillofacial Surgery PastSince Jul 30, 2016 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.

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.

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

Verify at the official NPI Registry.