Nicholas Christopher Lombardozzi, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401007573 Issued in VA

Practice address

17068 Lankford Highway
Eastville, VA 23341

Phone

(757) 331-1086

Fax

(757) 442-9505

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1467505818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "757-331-1086",
            "fax_number": "757-442-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23341",
            "telephone_number": "757-331-1086",
            "fax_number": "757-442-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDOZZI",
        "first_name": "NICHOLAS",
        "middle_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401007573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Gomez Jimenez
• Jeanette M Grant, DNP, FNP-BC
• Nancy T Hargis, NP
• Julia Annette Johnson Rayfield, DO
• Michelle Jugovich, PA-C
• Mary Kathryn Michaelis, PMHNP-BC
• Northampton County Board of Supervisors
• Suzanne E Omrod, MSN, RN, ANP-BC
• Emily Patrick, PA
• Linda G Philpot, M.D.

• Pediatric Dentistry in Eastville, VA
• Providers in Eastville, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.