Implant SpecialistFinder

Khin Mimi San, BCHD

Periodontist in Va Beach, VA

Registered specialistLicense # listed (VA)

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Public-record details

Address
477 Viking Drive, Suite 190, Va Beach, VA 23452
Phone
(757) 486-8181
Listed under
Periodontists
NPI
1689116113
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Periodontics (1223P0300X)
Credentials listed
BCHD
License number on NPI record
0401416690 (VA)
NPI first issued
Nov 15, 2016
NPI record last updated
May 21, 2021

NPI 1689116113 is active in the federal NPPES registry (CMS) with Periodontics, an ADA-recognized dental specialty, as its primary taxonomy; license 0401416690 (VA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Periodontists specialize in the gums and bone that support the teeth, including placing implants, gum and bone grafting, and treating gum disease. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1689116113 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.