Individual provider Active NPI

Marco A. Beltrami, DDS

  • General Practice Dentistry
  • Colonial Heights, VA
National Provider Identifier
1508827494
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008214 Issued in VA
Practice address
456 Charles H Dimmock Pkwy
Suite #5
Colonial Heights, VA 23834-2936
Phone
(804) 520-4088
NPI assigned
Mar 30, 2006
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401008214 VA Primary

Addresses

Primary practice location

456 Charles H Dimmock Pkwy
Suite #5
Colonial Heights, VA 23834-2936

Mailing address

456 Charles H Dimmock Pkwy
Suite #5
Colonial Heights, VA 23834-2936
Phone (804) 520-4088

Other names 1

  • Mark Beltrami Other name

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
0401008214VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1508827494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 CHARLES H DIMMOCK PKWY",
            "address_2": "SUITE #5",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342936",
            "telephone_number": "804-520-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 CHARLES H DIMMOCK PKWY",
            "address_2": "SUITE #5",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342936",
            "telephone_number": "804-520-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAMI",
        "first_name": "MARCO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "BELTRAMI",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.