Peter Kestutis Budnikas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411202 Issued in VA

Practice address

1St Medical Group
45 Pine Street
Langley Afb, VA 23665-2080

Phone

(757) 225-5630

NPI assigned

Feb 15, 2007

Sex

Male

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

Practice roles

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.

• Usaf

  • Military Hospital
  • Langley Afb, VA
  • NPI 1174500961
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821131863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "45 PINE STREET",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-225-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "45 PINE STREET",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-225-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDNIKAS",
        "first_name": "PETER",
        "middle_name": "KESTUTIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ronisha Blackwell, REGISTERED NURSE
• John Bowers Jr., LMSW
• Darwin Michael Brooks, C.R.N.A.
• Benjamin Watson Brown, PA-C
• Valerie M Brown, WHNP-BC
• Richard Keith Burwell, D.O.
• Rick Lee Campise, PH.D
• Cindy Ann Caporale, RDH
• Amy R Carpenter, MS, RD
• Ian Christopher Carpenter, PSY.D.

• General Practice Dentistry in Langley Afb, VA
• Providers in Langley Afb, 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 Jul 8, 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.