LOUIS J MARCONYAK (NPI# 1073552386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073552386 |
| Entity Type | Individual |
| Full Name | LOUIS J MARCONYAK |
| Credential | DMD |
| Practice Address |
351 Edwin Dr Suite 104 Virginia Beach VA 23462-4559 |
| Practice Telephone | 7574993530 |
| Practice Fax Number | 7574733576 |
| Mailing Telephone | 7574993530 |
| Mailing Fax Number | 7574733576 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3981 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710962402 | Louis Joseph Marconyak Jr. | Dentist | 2417 Mcguire Blvd Bldg 2417, Jb Mdl, NJ 08641-5116 | 2005-12-14 |
| Street Address |
351 EDWIN DR SUITE 104 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-4559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832979 | Allen R. Fenderson | Family Medicine | 351 Edwin Dr, Ste 102, Virginia Beach, VA 23462-4559 | 2005-06-27 |
| 1255722674 | Nicholas Maddux | Dentist | 351 Edwin Dr, Suite 104, Virginia Beach, VA 23462-4559 | 2015-02-06 |
| 1396876223 | Dr. Paul M. Brickman Ltd. | Dentist | 351 Edwin Dr, Suite 103, Virginia Beach, VA 23462-4559 | 2007-03-09 |
| 1881738144 | Karen Patterson | Physician Assistant | 351 Edwin Dr, Suite 102, Virginia Beach, VA 23462-4559 | 2007-02-19 |
| 1245283944 | Robert D Pellerin | Dentist | 351 Edwin Dr, Virginia Beach, VA 23462-4559 | 2006-05-17 |
| 1144201062 | Mark R Winters | Family Medicine | 351 Edwin Dr, Suite 102, Virginia Beach, VA 23462-4559 | 2005-11-08 |
| 1750372959 | Stephen B Stroud | Family Medicine | 351 Edwin Dr, Suite 102, Virginia Beach, VA 23462-4559 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1922422831 | Kenneth Albinder Dds,ms,ltd | Dentist | 4291 Holland Rd, 112, Virginia Beach, VA 23452-1939 | 2014-02-12 |
| 1982989893 | Neal Klar | Dentist | 5241 Providence Rd., Virginia Beach, VA 23464 | 2011-10-12 |
| 1073741757 | Timothy Ryan Glass | Dentist | 1341 Abelia Way, Virginia Beach, VA 23454-5145 | 2009-07-01 |
| 1366634925 | Kenneth Albinder | Dentist | 4291 Holland Rd Ste 112, Virginia Beach, VA 23452-1939 | 2007-08-16 |
| 1205045648 | Virginia Orthodontic Sepcialist | Dentist | 829 Lynnhaven Pkwy Ste 121, Virginia Beach, VA 23452-7224 | 2007-05-22 |
| 1760604953 | Drs Savage Sabol & Visser Ltd | Dentist | 829 First Colonial Road, Virginia Beach, VA 23451 | 2007-05-03 |
| 1235267865 | Walter Karl Wexel | Dentist | 2140 Great Neck Sq, Virginia Beach, VA 23454 | 2007-03-02 |
| 1720114812 | Curtis W. Dailey | Dentist | 4356 Bonney Rd # 4, Suite 101, Virginia Beach, VA 23452-1200 | 2007-02-26 |
| 1134285299 | Lawrence A. Klar | Dentist | 5241 Providence Rd, Virginia Beach, VA 23464-4201 | 2006-12-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.