Active NPI
Curtis Sergio Vendetti, DMD, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Virginia Beach, VA
National Provider Identifier
1902823792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 0438000214
- Practice address
- 1240 Perimeter Pkwy Ste 401
Virginia Beach, VA 23454 - Phone
- (757) 430-7690
- Fax
- (757) 430-7690
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 12587 | MD | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401411275 | VA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 0101236322 | VA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 0438000214 | VA | Primary |
Addresses
Primary practice location
1240 Perimeter Pkwy Ste 401
Virginia Beach, VA 23454
Mailing address
1240 Perimeter Pkwy Ste 401
Virginia Beach, VA 23454-5698
Phone (757) 430-7690
Other practice location 1
2018 Rock Spring Rd
Forest Hill, MD 21050-2631
Phone (410) 879-4444
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12587 | MD | MD | Oral and Maxillofacial Pathology Dentist |
| 0401411275 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0438000214 | VA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 0101236322 | VA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bel Air Dental Health Associates | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Center for Oral & Maxillofacial Surgery, LLC | Past | Accepting new patients | |
| Virginia Surgical Arts, LLC | Oral and Maxillofacial Pathology | Past | Accepting new patients |
| Anush a John DMD MD PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Virginia Beach, VA
- NPI 1578799383
Oral and Maxillofacial Pathology
-
- Oral and Maxillofacial Surgery (Dentist)
- Lutherville, MD
- NPI 1568573087
-
- Dentist
- Forest Hill, MD
- NPI 1407003684
Oral and Maxillofacial Surgery
-
- Ambulatory Surgical Clinic/Center
- Lutherville, MD
- NPI 1356331953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1902823792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 PERIMETER PKWY STE 401",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545698",
"telephone_number": "757-430-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 PERIMETER PKWY STE 401",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-430-7690",
"fax_number": "757-430-7690"
}
],
"practiceLocations": [
{
"address_1": "2018 Rock Spring Rd",
"address_purpose": "LOCATION",
"city": "Forest Hill",
"state": "MD",
"postal_code": "210502631",
"country_code": "US",
"telephone_number": "410-879-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENDETTI",
"first_name": "CURTIS",
"middle_name": "SERGIO",
"credential": "DMD, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MD",
"license": "12587",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401411275",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "VA",
"license": "0101236322",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "VA",
"license": "0438000214",
"primary": true
}
],
"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 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.