Individual provider Active NPI

Stephanie L. Santos, DDS

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1649696667
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008019 Issued in VA
Practice address
281 Independence Blvd Ste 210
Virginia Beach, VA 23462-2979
Phone
(757) 499-9639
Fax
(757) 490-0808
NPI assigned
Mar 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008019 VA Primary

Addresses

Primary practice location

281 Independence Blvd Ste 210
Virginia Beach, VA 23462-2979

Mailing address

281 Independence Blvd Ste 210
Virginia Beach, VA 23462-2979
Phone (757) 499-9639

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
0401008019VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie L. Santos, DDS, PC Dentist Past Accepting new patients
Stephanie L. Santos, DDS, PV Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1649696667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622979",
            "telephone_number": "757-499-9639",
            "fax_number": "757-490-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622979",
            "telephone_number": "757-499-9639",
            "fax_number": "757-490-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008019",
            "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 Aug 21, 2023; 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.