Active NPI
Jonathan Blaze Negron, DMD
- General Practice Dentistry
- Portsmouth, VA
National Provider Identifier
1629327051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15192
- Practice address
- Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708 - Phone
- (757) 953-7550
- Fax
- (757) 953-7560
- NPI assigned
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15192 | MD | Primary |
Addresses
Primary practice location
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Mailing address
5801 Nicholson LN Apt 1414
North Bethesda, MD 20852
Phone (772) 579-2846
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 |
|---|---|---|---|
| 15192 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1629327051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 NICHOLSON LN APT 1414",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "20852",
"telephone_number": "772-579-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
"address_2": "620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-7550",
"fax_number": "757-953-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRON",
"first_name": "JONATHAN",
"middle_name": "BLAZE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "15192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
- Navy Medical Center Portsmouth
- Ivan Che Ndamukong, PHD, PA-C
- Malik Lamont Neely
- Cory Allan Negri, DPM
- Elsio Rafael Negron-Rubio, M.D.
- Kinfe T Negru, PHARMACIST
- Kristyn K Neidermeyer, LCSW
- Neighborcare Pharmacy of Virginia, LLC (Omnicare of Portsmouth #48368)
- Onica Elaine Neilson, CNA
- Anastasia S Nelson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.