Harold J Marioneaux Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006104 Issued in VA

Practice address

504 Mill Stone Rd
Chesapeake, VA 23322-4367

Phone

(757) 573-6578

NPI assigned

Apr 8, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1457980658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OPPORTUNITY WAY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882003",
            "telephone_number": "757-258-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MILL STONE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224367",
            "telephone_number": "757-573-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIONEAUX",
        "first_name": "HAROLD",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lynne Mansfield, M.D.
• Tiffany Manzoni, D.D.S, M.S.
• Mao Pharmacy Inc. (Westwood Behavioral Health Pharmacy Chesapeake)
• Bobette March
• Margie Corney, MD PC
• Stephanie Jones Marioneaux, M.D.
• Mark a. Goldman, DDS, PC
• Mark R Gutekunst PC
• George L Markham III, PAC
• Charles W Marks, MD

• General Practice Dentistry in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.