Individual provider Active NPI

Mollie Hanna Gioffre, D.D.S.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1407934854
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411571 Issued in VA
Practice address
2129 General Booth Blvd Ste 117
Virginia Beach, VA 23454-5872
Phone
(757) 509-2492
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411571 VA Primary

Addresses

Primary practice location

2129 General Booth Blvd Ste 117
Virginia Beach, VA 23454-5872

Mailing address

809 Virginia Ave
Virginia Beach, VA 23451-4647
Phone (757) 509-2492

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

LicenseStateTypeSpecialty
0401411571VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1407934854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 VIRGINIA AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514647",
            "telephone_number": "757-509-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 GENERAL BOOTH BLVD STE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545872",
            "telephone_number": "757-509-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOFFRE",
        "first_name": "MOLLIE",
        "middle_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411571",
            "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 May 25, 2016; 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.