Organization Active NPI

Mastros & Witty Family Dentistry PC

  • Dental Clinic/Center
  • Newport News, VA
National Provider Identifier
1902819303
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401411471 Issued in VA
Legal business name
MASTROS & WITTY FAMILY DENTISTRY PC
Practice address
41 Old Oyster Point Rd
Suite H
Newport News, VA 23602-7177
Phone
(757) 249-5128
Fax
(757) 249-0875
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. Kristin Leigh Mastros, D.D.S.NPI 1285646190
Title
Pres.
Phone
(757) 249-5128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401411471 VA Primary

Addresses

Primary practice location

41 Old Oyster Point Rd
Suite H
Newport News, VA 23602-7177

Mailing address

41 Old Oyster Point Rd
Suite H
Newport News, VA 23602-7177
Phone (757) 249-5128

National Provider Directory

National Provider Directory

Locations

41 Old Oyster Point Rd
Ste H
Newport News, VA 23602
Phone (757) 249-5128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1902819303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 OLD OYSTER POINT RD",
            "address_2": "SUITE H",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027177",
            "telephone_number": "757-249-5128",
            "fax_number": "757-249-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 OLD OYSTER POINT RD",
            "address_2": "SUITE H",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027177",
            "telephone_number": "757-249-5128",
            "fax_number": "757-249-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTROS & WITTY FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "MASTROS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "757-249-5128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401411471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.