DR. TODD WILLIAM NEILS (NPI# 1912067141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912067141 |
| Entity Type | Individual |
| Full Name | DR. TODD WILLIAM NEILS |
| Credential | D.D.S. |
| Practice Address |
1035 Nider Blvd Norfolk VA 23521-2701 |
| Mailing Address |
3612 E Stratford Rd Virginia Beach VA 23455-2949 |
| Practice Telephone | 7573147435 |
| Practice Fax Number | 7573147441 |
| Mailing Telephone | 7573147435 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1786 | ND | Dental Providers |
| Street Address |
1035 NIDER BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23521-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903683 | Andrea Susan Bassi | Optometrist | 1035 Nider Blvd, Ste 100, Norfolk, VA 23521-2701 | 2005-06-27 |
| 1902076219 | Pamela Jeanne Arceneaux | Military Health Care Provider | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2008-03-04 |
| 1952461246 | Kevin Baiko | Family Medicine | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-12-09 |
| 1790843076 | Estanislao V Soria Jr. | Family Medicine | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-12-05 |
| 1205865755 | Paul Frederick Hazard | Military Health Care Provider | 1035 Nider Blvd, Suit 100, Norfolk, VA 23521-2701 | 2006-06-30 |
| 1225073299 | Jason Paul Davis | Military Health Care Provider | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-06-16 |
| 1427025485 | Ricardo Garza | Military Health Care Provider | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-03-08 |
| 1730156134 | Nelsoncris Caparas Delacruz | Military Health Care Provider | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-03-03 |
| 1831162254 | Fariba Sadr | Pharmacist | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-02-08 |
| 1255302683 | Patricia Fay Rogner | Registered Nurse | 1035 Nider Blvd, Tricare Prime Boone Clinic, Norfolk, VA 23521-2731 | 2006-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720352958 | Omar Antonio Pescador | Military Health Care Provider | Seal Team 10 Medical Department, Bldg 3808, Virginia Beach, VA 23521 | 2012-03-06 |
| 1013219591 | Naval Special Warfare Group Three Det Little Creek | Military Hospital | 1840 Intercove Rd, Norfolk, VA 23521 | 2010-12-03 |
| 1750610788 | Melissa Christine Foster | Military Health Care Provider | 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 | 2009-12-22 |
| 1396837068 | Sharon A Raghubar | Dentist | Nab Little Creek, 1035 Nider Blvd. Suite 200, Norfolk, VA 23521 | 2006-09-29 |
| 1073581823 | Karen Hintz Charlton | Physician Assistant | 1035 Nidar Blvd, Norfolk, VA 23521 | 2006-03-09 |
| 1518937846 | Timothy Paul Tobin | Optometrist | Branch Medical Clinic, Little Creek, 1035 Nider Blvd Ste 100, Norfolk, VA 23521 | 2006-01-26 |
| 1225273691 | Jason Paul Arceneaux | Military Health Care Provider | 1355 Helicopter Rd, Norfolk, VA 23521 | 2008-12-12 |
| 1679749220 | Christopher J Marquez | Military Health Care Provider | 1840 Gator Blvd, Seal Team Two Bldg 3841, Norfolk, VA 23521 | 2008-05-05 |
| 1902066731 | Scott Lafountaine | Military Health Care Provider | 1840 Cove Road, Naval Special Warfare Group Two Medical Department, Norfolk, VA 23521-2100 | 2008-06-16 |
| 1205018819 | Keith Staples | Military Health Care Provider | 1310 8th St, Suite 100, Norfolk, VA 23521-2416 | 2007-12-05 |
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| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841664927 | Madan Periodontics and Implant Dentistry Pllc | Dentist | 5900 E Virginia Beach Blvd Ste 213, Norfolk, VA 23502-2487 | 2015-11-30 |
| 1235354812 | Phillip J Ernst | Dentist | 110 N 16th St, Ste 17, Norfolk, NE 68701 | 2007-04-17 |
| 1821116211 | David Sutton Hirschler II | Dentist | 213 Janaf Office Bldg, 5900 E Va Beach Blvd, Norfolk, VA 23502-2508 | 2007-03-26 |
| 1679543094 | Howard Hugh Anderson Jr. | Dentist | 1647 Taussig Blvd, Norfolk, VA 23511-2896 | 2006-01-26 |
| 1558561548 | Jeffrey Ryan Wessel | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2007-07-19 |
| 1457479842 | Ernest Thompson Witte | Dentist | 213 Janaf Office Bldg, 5900 E Va Beach Blvd, Norfolk, VA 23502-2508 | 2007-03-26 |
| 1902995772 | Walter L Melvin | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2006-10-12 |
| 1972698900 | Walter D Brafford | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
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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.