Individual provider Active NPI

Ted Louis Bachas, DDS

  • Dentist
  • Suffolk, VA
National Provider Identifier
1669457412
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3923 Issued in VA
Practice address
6550 Townpoint Rd
Ste 105
Suffolk, VA 23435-2754
Phone
(757) 483-6155
Fax
(757) 483-6175
NPI assigned
Dec 14, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3923 VA Primary

Addresses

Primary practice location

6550 Townpoint Rd
Ste 105
Suffolk, VA 23435-2754

Mailing address

6550 Townpoint Rd
Ste 105
Suffolk, VA 23435-2754
Phone (757) 483-6155

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
3923VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669457412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 TOWNPOINT RD",
            "address_2": "STE 105",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352754",
            "telephone_number": "757-483-6155",
            "fax_number": "757-483-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 TOWNPOINT RD",
            "address_2": "STE 105",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352754",
            "telephone_number": "757-483-6155",
            "fax_number": "757-483-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHAS",
        "first_name": "TED",
        "middle_name": "LOUIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.