Jeffrey Lewis Culbreath, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

8901 Issued in TN

Practice address

475 Water St Apt 402
Portsmouth, VA 23704-3842

Phone

(757) 953-5148

NPI assigned

Jan 8, 2009

Last updated

Jan 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 21, 2019 through Nov 21, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Provence and Haley, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dickson, TN
  • NPI 1033344288
  NPD (past)
• Provence and Haley, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
  • NPI 1225263460
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1780821199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WATER ST APT 402",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WATER ST APT 402",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043842",
            "telephone_number": "757-953-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBREATH",
        "first_name": "JEFFREY",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Katherine Crump, M.D.
• Caitlin O'Connor Cruz, M.D.
• Mark Manlutac Cruz, M.D.
• Cte Transportation Services LLC
• Leeann Yibin Hu Cuesta, MD
• Taylor Neuburg Cullen, FNP-C
• Thomas Ray Cullison, MD
• Christopher Mark Culp, MD
• Courtney Nicole Cummings
• Maria Regina Cunanan, NP

• Dentist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.