Active NPI
Arnold R Oppenheim, M.D.
- Dermatology Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0087639
- Practice address
- 5320 Providence Rd Ste 202
Virginia Beach, VA 23464-4122 - Phone
- (757) 523-4800
- Fax
- (757) 523-5857
- NPI assigned
- Oct 29, 2006
- Last updated
- Jun 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0087639 | MD | Primary |
| Specialist | 174400000X | 0101033623 | VA |
Addresses
Primary practice location
5320 Providence Rd Ste 202
Virginia Beach, VA 23464-4122
Mailing address
3729 Redwood Farm Dr
Virginia Beach, VA 23452-4640
Phone (757) 498-1356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033623 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Dermatology, P.C. | Specialist | Current | Accepting new patients |
| Complete Dermatology of Virginia, Inc. | Specialist | Current | Accepting new patients |
| Dermatology of Pompano LLC | Single Specialty | Current | Accepting new patients |
| Virginia Beach Dermatoloty Ass. | Specialist | Current | Accepting new patients |
Locations
2040 NE 36th St
Lighthouse Point, FL 33064
Phone (954) 296-5108
1800 N Federal Hwy
Ste 105
Pompano Beach, FL 33062
Phone (754) 999-1746
10721 Main St
Ste 3100
Fairfax, VA 22030
Phone (703) 352-2620
1600 N Coalter St
Ste 19
Staunton, VA 24401
Phone (540) 885-4500
5320 Providence Rd
Ste 202
Virginia Beach, VA 23464
Phone (757) 523-4800
Organizations & group practices 4
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.
-
- Specialist
- Staunton, VA
- NPI 1023484219
-
- Dermatology Physician
- Lighthouse Point, FL
- NPI 1720652514
Single Specialty
-
- Specialist
- Virginia Beach, VA
- NPI 1801975271
-
- Specialist
- Fairfax, VA
- NPI 1609321611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1649356940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3729 REDWOOD FARM DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524640",
"telephone_number": "757-498-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 PROVIDENCE RD STE 202",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644122",
"telephone_number": "757-523-4800",
"fax_number": "757-523-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPENHEIM",
"first_name": "ARNOLD",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "MD",
"license": "D0087639",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101033623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Tawachai Onsanit, M.D.
- Onsite Medical Services, Inc. (Onsite Healthcare)
- Veronica Chidi Onyekonwu
- Open Bionics Inc
- Robert F Opet, MD
- Ella Iris Opsal, PA-C
- Optima Health Plan (Sentara Community Care Center)
- Optimal Behavioral, LLC
- Optimism Home Health Care Services, LLC (Optimism Home Care, LLC)
- Optimized Preferred Home Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.