Active NPI
Miguel Fernandez DDS, LTD
- General Practice Dentistry
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MIGUEL FERNANDEZ DDS, LTD
- Practice address
- 520 S Independence Blvd Ste 102
Virginia Beach, VA 23452-1152 - Phone
- (757) 497-4825
- Fax
- (757) 497-1206
- NPI assigned
- May 26, 2007
- Last updated
- Mar 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miguel Eduardo Fernandez, DDS
- Title
- President
- Phone
- (747) 497-4825
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
520 S Independence Blvd Ste 102
Virginia Beach, VA 23452-1152
Mailing address
520 S Independence Blvd Ste 102
Virginia Beach, VA 23452-1152
Phone (757) 497-4825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250520003896 | VA | DME Supplier - Oral Surgery - Dentist | 1254859457 | Practice locations: Virginia Beach, VA |
National Provider Directory
National Provider Directory- Tax ID family
- Atlantic Dental Care PLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Miguel Fernandez DDS, Ltd. a division of Atlantic Dental Care, PLC
- Dentist
- Virginia Beach, VA
- NPI 1457697690
Locations
5121 Greenwich Rd
Ste 102
Virginia Beach, VA 23462
520 S Independence Blvd
Ste 102
Virginia Beach, VA 23452
Phone (757) 497-4825
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1184646390
-
- Dental Hygienist
- Virginia Beach, VA
- NPI 1689343659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741910400000",
"number": "1730390998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S INDEPENDENCE BLVD STE 102",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521152",
"telephone_number": "757-497-4825",
"fax_number": "757-497-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S INDEPENDENCE BLVD STE 102",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521152",
"telephone_number": "757-497-4825",
"fax_number": "757-497-1206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGUEL FERNANDEZ DDS, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-26",
"last_updated": "2025-03-14",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "EDUARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "747-497-4825",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.