Individual provider Active NPI

Jesus Rafael Sanchez Ocasio, D.M.D.

  • Dentist
  • Williamsburg, VA
National Provider Identifier
1700229374
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414591 Issued in VA
Practice address
1131 Professional Dr
Williamsburg, VA 23185-3329
Phone
(757) 220-0330
NPI assigned
Apr 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS039099 PA
Dentist 122300000X 0401414591 VA Primary

Addresses

Primary practice location

1131 Professional Dr
Williamsburg, VA 23185-3329

Mailing address

109 Bellis CT
Bridgewater, NJ 08807-3480

Other practice location 1

710 Denbigh Blvd Ste 1C
Newport News, VA 23608-4427
Phone (757) 874-5511

Other practice location 2

201 Lyons Ave
Floor D9
Newark, NJ 07112-2027
Phone (973) 926-7413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 15, 2015 through Sep 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414591VAMDDentist
DS039099PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison, Hartley, & Sanchez, P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1700229374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BELLIS CT",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853329",
            "telephone_number": "757-220-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Denbigh Blvd Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236084427",
            "country_code": "US",
            "telephone_number": "757-874-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lyons Ave",
            "address_2": "Floor D9",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ OCASIO",
        "first_name": "JESUS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039099",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.