Terry H Hake DDS PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401008049 Issued in VA

Legal business name

TERRY H HAKE DDS PC

Practice address

1761 Jamestown Road
Suite 102
Williamsburg, VA 23185

Phone

(757) 229-4115

Fax

(757) 229-8297

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Terry Henry Hake, DDS

Title

Owner Endodontist

Phone

(757) 229-4115

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1104017060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 JAMESTOWN ROAD",
            "address_2": "SUITE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-229-4115",
            "fax_number": "757-229-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 JAMESTOWN ROAD",
            "address_2": "SUITE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-229-4115",
            "fax_number": "757-229-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY H HAKE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "HAKE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER ENDODONTIST",
        "authorized_official_telephone_number": "757-229-4115",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401008049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "234929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "166891",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10153",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Taylor
• Thomas W Taylor, RPH
• Maryam Tehrani
• Lorna Biscocho Tempest, LPC
• Tender Hands, LLC
• Rebekah Leigh Testa, PA-C
• Kerry A. Tester, IDC
• Manish Thamman, RPH
• Leah Rose Tharp
• The Communication Company, LLC

• Endodontics in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.