Active NPI
Mitchell A Avent, DDS
- Dentist
- Newport News, VA
National Provider Identifier
1730258583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4981
- Practice address
- 12725 McManus Blvd
Building #1 Suite a
Newport News, VA 23602 - Phone
- (757) 874-0660
- Fax
- (757) 874-0698
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4981 | VA | Primary |
Addresses
Primary practice location
12725 McManus Blvd
Building #1 Suite a
Newport News, VA 23602
Mailing address
12725 McManus Blvd
Building #1 Suite a
Newport News, VA 23602
Phone (757) 874-0660
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4981 | Other | DELTA DENTAL | |
| 878129 | Other | UNITED CONCORDIA | |
| 091512 | Other | BCBS | |
| 8212775 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4981 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avent and Huie DDS PLC | 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.
-
- Pediatric Dentistry
- Newport News, VA
- NPI 1922168855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730258583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12725 MCMANUS BLVD",
"address_2": "BUILDING #1 SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23602",
"telephone_number": "757-874-0660",
"fax_number": "757-874-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12725 MCMANUS BLVD",
"address_2": "BUILDING #1 SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23602",
"telephone_number": "757-874-0660",
"fax_number": "757-874-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENT",
"first_name": "MITCHELL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "4981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "4981",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "878129",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "091512",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8212775",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.