Individual provider Active NPI

James Frederick Biondo

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1548996580
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417949 Issued in VA
Practice address
904 Kempsville Rd Ste 103
Virginia Beach, VA 23464-5571
Phone
(757) 416-5977
NPI assigned
Jul 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417949 VA Primary

Addresses

Primary practice location

904 Kempsville Rd Ste 103
Virginia Beach, VA 23464-5571

Mailing address

904 Kempsville Rd Ste 103
Virginia Beach, VA 23464-5571
Phone (757) 416-5977

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
0401417949VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1548996580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 KEMPSVILLE RD STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645571",
            "telephone_number": "757-416-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 KEMPSVILLE RD STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645571",
            "telephone_number": "757-416-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIONDO",
        "first_name": "JAMES",
        "middle_name": "FREDERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417949",
            "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 Jul 30, 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.

Verify at the official NPI Registry.