Individual provider Active NPI

Frederick Padilla Ochave, D.M.D.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1790843282
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008927 Issued in VA
Practice address
4525 South Blvd Ste 301
Virginia Beach, VA 23452-1147
Phone
(757) 497-1618
Fax
(757) 497-8285
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008927 VA Primary
Dentist 122300000X 0401008924 VA

Addresses

Primary practice location

4525 South Blvd Ste 301
Virginia Beach, VA 23452-1147

Mailing address

4525 South Blvd Ste 301
Virginia Beach, VA 23452-1147
Phone (757) 497-1618

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

LicenseStateTypeSpecialty
0401008927VAMDDentist
0401008924VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick P Ochave, DMD PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

4525 South Blvd
Ste 301
Virginia Beach, VA 23452
Phone (757) 497-1618

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1790843282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SOUTH BLVD STE 301",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521147",
            "telephone_number": "757-497-1618",
            "fax_number": "757-497-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SOUTH BLVD STE 301",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521147",
            "telephone_number": "757-497-1618",
            "fax_number": "757-497-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHAVE",
        "first_name": "FREDERICK",
        "middle_name": "PADILLA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008927",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008924",
            "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 May 30, 2024; 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.