PETER CERVENKA (NPI# 1922239250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922239250 |
| Entity Type | Individual |
| Full Name | PETER CERVENKA |
| Credential | DMD |
| Practice Address |
Spencer Dental 14346 Warwick Blvd Newport News VA 23602 |
| Mailing Address |
Peter Cervenka 303 Cross Green Street, Unit A Gaithersburg MD 20878 |
| Practice Telephone | 7577558771 |
| Mailing Telephone | 5305917813 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401416436 | VA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Commanding Officer, 2d Denbn/ndc 315 Mchugh Blvd., Camp Lejeune, NC 285420130 | 9104512208 | 9104518036 |
| Street Address |
SPENCER DENTAL 14346 WARWICK BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184902553 | John Morgan | Dentist | 11842 Rock Port Landing, Suite 105, Newport News, VA 23606 | 2011-08-02 |
| 1184607731 | Kenneth Lee Tankersley | Dentist | 716 Denbigh Blvd, Newport News, VA 23608-4414 | 2005-11-28 |
| 1588647366 | Numa Ray Lee | Dentist | 11842 Rock Landing Dr, Newport News, VA 23606-4437 | 2005-11-25 |
| 1265823272 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 220 Nat Turner Blvd S, Newport News, VA 23606-2998 | 2015-02-12 |
| 1831476886 | Tdt Oms | Dentist | 716 Denbigh Blvd, Suite C1, Newport News, VA 23608-4414 | 2011-11-04 |
| 1326323254 | Jeffrey N Kenney Dds Pllc | Dentist | 12420 Warwick Blvd, Suite 2a, Newport News, VA 23606-3001 | 2011-10-11 |
| 1083993935 | Numa Ray Lee Dds Pllc | Dentist | 11842 Rock Landing Dr, Suite 105, Newport News, VA 23606-4437 | 2011-08-10 |
| 1295930097 | Ronald Tankersley Dds Numa Ray Lee Dds Jeffrey N Kenney Dds W Les | Dentist | 716 Denbigh Blvd, Suite C1, Newport News, VA 23608-4414 | 2007-06-20 |
| 1831130400 | Jeffrey N. Kenney | Dentist | 12420 Warwick Blvd, 2-a, Newport News, VA 23606-3001 | 2006-06-08 |
| 1053394585 | Ronald L Tankersley | Dentist | 716 Denbigh Blvd, Newport News, VA 23608-4414 | 2005-11-29 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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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.