Individual provider Active NPI

Eric Louis Niver, DDS, MS

  • Periodontics
  • Virginia Beach, VA
National Provider Identifier
1912166869
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401413912 Issued in VA
Practice address
4040 Timber Ridge Dr
Virginia Beach, VA 23455-7017
Phone
(559) 697-3746
NPI assigned
Jun 5, 2008
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 56289 CA
Periodontics 1223P0300X 0401413912 VA Primary

Addresses

Primary practice location

4040 Timber Ridge Dr
Virginia Beach, VA 23455-7017

Mailing address

4040 Timber Ridge Dr
Virginia Beach, VA 23455-7017
Phone (559) 697-3746

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
Master of Science

State licenses

LicenseStateTypeSpecialty
0401413912VAMDPeriodontist
56289CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Virginia, P.C. Past Accepting new patients
Brian P Midgette DDS PC Past Accepting new patients
Sebastiana G Springmann DDS PC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1912166869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 TIMBER RIDGE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234557017",
            "telephone_number": "559-697-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 TIMBER RIDGE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234557017",
            "telephone_number": "559-697-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVER",
        "first_name": "ERIC",
        "middle_name": "LOUIS",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "56289",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401413912",
            "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 Jan 10, 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.