Individual provider Active NPI

John Jeffery Denison, D.D.S.

  • Dentist
  • Newport News, VA
National Provider Identifier
1023109279
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8258 Issued in VA
Practice address
895 Middle Ground Blvd
Suite 106
Newport News, VA 23606-4250
Phone
(757) 873-9000
Fax
(757) 257-3997
NPI assigned
Sep 27, 2006
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8258 VA Primary

Addresses

Primary practice location

895 Middle Ground Blvd
Suite 106
Newport News, VA 23606-4250

Mailing address

50 Dillwyn Dr
Newport News, VA 23602-7372
Phone (757) 877-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000118 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890085161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8258VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John J Denison, DDS, PC Dentist Past Accepting new patients
John J Denison, DDS PC Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1023109279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DILLWYN DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027372",
            "telephone_number": "757-877-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 MIDDLE GROUND BLVD",
            "address_2": "SUITE 106",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064250",
            "telephone_number": "757-873-9000",
            "fax_number": "757-257-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISON",
        "first_name": "JOHN",
        "middle_name": "JEFFERY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "8258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.