Active NPI
Teresa Mars Pipkin, RDH
- Dental Hygienist
- Virginia Beach, VA
National Provider Identifier
1538317680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0402004442
- Practice address
- 1035 Nider Blvd Ste 100
Virginia Beach, VA 23459-8701 - Phone
- (757) 953-8334
- NPI assigned
- Sep 3, 2008
- Last updated
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | NU | ||
| Dental Hygienist | 124Q00000X | 0402004442 | VA | Primary |
Addresses
Primary practice location
1035 Nider Blvd Ste 100
Virginia Beach, VA 23459-8701
Mailing address
748 Crepe Myrtle LN
Virginia Beach, VA 23455-5812
Phone (757) 409-5553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15538317680 | Other | DENTAL HYGIENIST |
Other names 1
- Mrs. Teresa Mars Foret
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | teresa.m.pipkin.ctr@health.mil |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0402004442 | VA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1538317680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 CREPE MYRTLE LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555812",
"telephone_number": "757-409-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 NIDER BLVD STE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234598701",
"telephone_number": "757-953-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPKIN",
"first_name": "TERESA",
"middle_name": "MARS",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2022-12-05",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VA",
"license": "0402004442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENIST",
"identifier": "15538317680",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "teresa.m.pipkin.ctr@health.mil",
"affiliation": "N",
"address_1": "BHC JEB Little Creek- Boone Dental Clinic",
"address_2": "1035 Nider Blvd., Suite 100",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "23459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TERESA",
"last_name": "FORET",
"middle_name": "MARS",
"prefix": "MRS.",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.