Bethany Joy Macintosh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416447 Issued in VA

Practice address

4625 Virginia Beach Blvd Ste 101a
Virginia Beach, VA 23462-7789

Phone

(757) 675-8460

NPI assigned

Apr 5, 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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1740742881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6357 SHOWY CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813727",
            "telephone_number": "850-266-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 VIRGINIA BEACH BLVD STE 101A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627789",
            "telephone_number": "757-675-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINTOSH",
        "first_name": "BETHANY",
        "middle_name": "JOY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya J Macdonald, M.S.ED. CCC-SLP
• Aubrey Lee Macdougall
• Peter Mach
• Lisa Delgado Machado, LMT
• Robin Renee Maciejewski
• Amy K Mack, NP
• Bryan Mack
• Hershel Mack, PA-C, ATC
• Lawanna Anean' Mack
• Tiasara Mack, PHARMD

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.