Individual provider Active NPI

W. Todd Bivins, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chesapeake, VA
National Provider Identifier
1750589859
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401008215 Issued in VA
Practice address
220 Mount Pleasant Rd
Suite 200
Chesapeake, VA 23322-4113
Phone
(757) 546-3888
Fax
(757) 546-3636
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401008215 VA Primary

Addresses

Primary practice location

220 Mount Pleasant Rd
Suite 200
Chesapeake, VA 23322-4113

Mailing address

220 Mount Pleasant Rd
Suite 200
Chesapeake, VA 23322-4113
Phone (757) 546-3888

Other identifiers 2

IdentifierTypeStateIssuer
1321492OtherVAUNITED CONCORDIA
267886OtherVAANTHEM

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0401008215VAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1750589859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MOUNT PLEASANT RD",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224113",
            "telephone_number": "757-546-3888",
            "fax_number": "757-546-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MOUNT PLEASANT RD",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224113",
            "telephone_number": "757-546-3888",
            "fax_number": "757-546-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVINS",
        "first_name": "W.",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1321492",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "267886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.