Active NPI
Elmer Leonard Reaves Jr., D.D.S.
- Public Health Dentistry
- Hampton, VA
National Provider Identifier
1780674879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 0401005262
- Practice address
- 1320 Lasalle Ave
Hampton, VA 23669-3801 - Phone
- (757) 727-2585
- Fax
- (757) 727-4881
- NPI assigned
- Oct 28, 2005
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 0401005262 | VA | Primary |
Addresses
Primary practice location
1320 Lasalle Ave
Hampton, VA 23669-3801
Mailing address
1304 Braddock Ave
Virginia Beach, VA 23455-4102
Phone (757) 363-9568
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 |
|---|---|---|---|
| 0401005262 | VA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780674879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 BRADDOCK AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234554102",
"telephone_number": "757-363-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 LASALLE AVE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236693801",
"telephone_number": "757-727-2585",
"fax_number": "757-727-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAVES",
"first_name": "ELMER",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "VA",
"license": "0401005262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.