Active NPI
Ross Epstein, DDS
- General Practice Dentistry
- Newport News, VA
National Provider Identifier
1639180565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401007692
- Practice address
- 1405 Kiln Creek Pkwy Ste J
Newport News, VA 23602-9700 - Phone
- (757) 875-2273
- Fax
- (757) 875-0763
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0401007692 | VA | Primary |
Addresses
Primary practice location
1405 Kiln Creek Pkwy Ste J
Newport News, VA 23602-9700
Mailing address
1405 Kiln Creek Pkwy Ste J
Newport News, VA 23602-9700
Phone (757) 875-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093424 | Other | VA | BCBS PROVIDER ID # |
| 760169 | Other | VA | UNITED CONCORDIA PROV. ID |
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 |
|---|---|---|---|
| 0401007692 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Caring Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639180565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 KILN CREEK PKWY STE J",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236029700",
"telephone_number": "757-875-2273",
"fax_number": "757-875-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 KILN CREEK PKWY STE J",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236029700",
"telephone_number": "757-875-2273",
"fax_number": "757-875-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "ROSS",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401007692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID #",
"identifier": "093424",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROV. ID",
"identifier": "760169",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.