Active NPI
Eleftheria Iris Michelaki, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Newport News, VA
National Provider Identifier
1982430625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401419040
- Practice address
- 220 Nat Turner Blvd S
Newport News, VA 23606-2998 - Phone
- (757) 240-5711
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401419040 | VA | Primary |
Addresses
Primary practice location
220 Nat Turner Blvd S
Newport News, VA 23606-2998
Mailing address
3 Finikos Street
Athens, GREECE 14564
GR
Other practice location 1
5750 Main St Ste 100a
Gloucester, VA 23061
Phone (804) 695-2575
Other practice location 2
5000 Foundation St
Williamsburg, VA 23188-2872
Phone (757) 259-9703
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419040 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Prime Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Newport News, VA
- NPI 1104663962
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Williamsburg, VA
- NPI 1861222432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1982430625",
"addresses": [
{
"country_code": "GR",
"country_name": "Greece",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3 FINIKOS STREET",
"city": "ATHENS",
"state": "GREECE",
"postal_code": "14564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 NAT TURNER BLVD S",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062998",
"telephone_number": "757-240-5711"
}
],
"practiceLocations": [
{
"address_1": "5750 MAIN ST STE 100A",
"address_purpose": "LOCATION",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "23061",
"country_code": "US",
"telephone_number": "804-695-2575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Foundation St",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231882872",
"country_code": "US",
"telephone_number": "757-259-9703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHELAKI",
"first_name": "ELEFTHERIA",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401419040",
"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 Sep 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.