Bolivia Pereira Hurtado, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35420 Issued in TX

Practice address

3259 Catlin Ave
Quantico, VA 22134-5109

Phone

(703) 784-1725

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1669024428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25798 S VILLAGE DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526338",
            "telephone_number": "808-347-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345109",
            "telephone_number": "703-784-1725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "674 Boulevard de France",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "29905",
            "country_code": "US",
            "telephone_number": "843-228-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2303 92136, 2309 Doyle St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921360001",
            "country_code": "US",
            "telephone_number": "619-556-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA HURTADO",
        "first_name": "BOLIVIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae H Park
• Christy Lynn Parker, LCSW
• Dilip Devjeebhai Patel, MD
• Christopher Lewis Paulett, O.D./ M.S./F.A.A.O.
• Michael Scott Payton, DC
• Joyce Phillips
• Michael Pirone
• Meghan Rose Pugh, DAT, LAT, ATC
• Quantico Special Order Phcy
• Neil Rampy, LCSW, BCD, CPH

• Dentist in Quantico, VA
• Providers in Quantico, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.