Individual provider Active NPI

Curtis Sergio Vendetti, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Virginia Beach, VA
National Provider Identifier
1902823792
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
0438000214 Issued in VA
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

Updated by the provider on May 23, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12587MDMDOral and Maxillofacial Pathology Dentist
0401411275VAMDOral and Maxillofacial Surgery (Dentist)
0438000214VAMDOral & Maxillofacial Surgery (D.M.D.)
0101236322VAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.