DR. PETER KESTUTIS BUDNIKAS (NPI# 1821131863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821131863 |
| Entity Type | Individual |
| Full Name | DR. PETER KESTUTIS BUDNIKAS |
| Credential | DMD |
| Practice Address |
1st Medical Group 45 Pine Street Langley Afb VA 23665-2080 |
| Practice Telephone | 7572255630 |
| Mailing Telephone | 7572255630 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401411202 | VA | Dental Providers |
| Street Address |
1ST MEDICAL GROUP 45 PINE STREET |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386621167 | Wayne Martin Pritt | Family Medicine | 1st Medical Group, 45 Pine Road, Langley Afb, VA 23665-2080 | 2005-12-22 |
| 1265676985 | Eric Richard Mccoy | Military Health Care Provider | 1st Medical Group, 77 Nealy Avenue, Langley Afb, VA 23665-2040 | 2009-04-24 |
| 1740421957 | Rick Lee Campise | Psychologist | 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2009-03-18 |
| 1245424555 | Thelma Diane Thomas | Advanced Practice Midwife | 1st Medical Group, 77 Nealy Avenue, Langley Afb, VA 23665-2023 | 2007-08-29 |
| 1306050430 | Denise Michelle Dunklee | Registered Nurse | 1st Medical Group, 77 Nealy Drive, Langley Afb, VA 23665-3339 | 2007-05-09 |
| 1508089673 | Nancy Jean Petrilak | Optometrist | 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2023 | 2007-04-10 |
| 1093846362 | Robert Joseph Fischer | Obstetrics & Gynecology | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-03-08 |
| 1649308909 | Joseph J Legan | Orthopaedic Surgery | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-03-01 |
| 1952438178 | Kathleen Ann Cole | Dentist | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-02-27 |
| 1477696441 | Frank Biddle Sherman Jr. | Dentist | 1st Medical Group, 45 Pine St., Langley Afb, VA 23665-2080 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124224308 | Heather Mae Tellez | Dentist | 72 Nealy Ave, Langley Afb, VA 23665-5300 | 2007-06-25 |
| 1861724510 | Allen G Gunn | Dentist | 77 Nealy Avenue, 633d Medical Group, Langley Afb, VA 23665-2040 | 2010-02-05 |
| 1801018429 | John Christian Davis | Dentist | 76 Nealy Blvd, Langley Afb, VA 23665-2022 | 2007-05-03 |
| 1952438178 | Kathleen Ann Cole | Dentist | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-02-27 |
| 1477696441 | Frank Biddle Sherman Jr. | Dentist | 1st Medical Group, 45 Pine St., Langley Afb, VA 23665-2080 | 2007-02-15 |
| 1053381301 | Richard Allen Mcclure | Dentist | 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2023 | 2006-01-26 |
| 1457330086 | Stephen Michael Neuser | Dentist | 45 Pine Road, 1st Medical Group, Langley Afb, VA 23665-2080 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1548877194 | Vishakha N Devrukhkar | Dentist | 4011 Wards Rd Ste A, Lynchburg, VA 24502-2943 | 2020-09-28 |
| 1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
| 1215549654 | Alan Ostrovsky | Dentist | 9225 Doerr Rd # 1220, Fort Belvoir, VA 22060-2204 | 2020-08-18 |
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1467060996 | Daniel Kuyk | Dentist | 616 Campus Dr Ste 100, Abingdon, VA 24210-9706 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.