Individual provider Active NPI

Krystie M Niver, DDS

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1942565213
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413911 Issued in VA
Practice address
236 Carmichael Way
Suite # 312
Chesapeake, VA 23322-2185
Phone
(757) 932-5200
Fax
(757) 257-9548
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401413911 VA Primary

Addresses

Primary practice location

236 Carmichael Way
Suite # 312
Chesapeake, VA 23322-2185

Mailing address

236 Carmichael Way
Suite 312
Chesapeake, VA 23322-2185
Phone (757) 932-5200

Other names 1

  • Krystie M Niver Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211000460 VA Order and Referring Only - DentistPractitioner - Dentist 6709370307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401413911VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Good Neighbor Dental at Edinburgh General Practice Past Accepting new patients

Organizations & group practices 1

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1942565213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CARMICHAEL WAY",
            "address_2": "SUITE 312",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222185",
            "telephone_number": "757-932-5200",
            "fax_number": "757-257-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CARMICHAEL WAY",
            "address_2": "SUITE # 312",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222185",
            "telephone_number": "757-932-5200",
            "fax_number": "757-257-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVER",
        "first_name": "KRYSTIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTIE",
            "last_name": "NIVER",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.