Lori Vespia, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS027742L Issued in PA

Practice address

238 Solana Rd
Ponte Vedra, FL 32082-2297

Phone

(904) 280-1717

NPI assigned

Jul 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1104081520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ORCHARDVIEW DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803537",
            "telephone_number": "856-340-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SOLANA RD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320822297",
            "telephone_number": "904-280-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESPIA",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2020-11-13",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20010",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI1017909",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027742L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Strickland Van Horn, PSY.D.
• Jason L. Vanbennekom, M.D.
• Daisamma Varghese, NP
• Kristi Pelletier Vega, LMFT
• Fatima Camangian Vergara, ARNP, MSN-FNP
• Christina Marie Vogel, RPH
• Patrick Walker, CRNA
• Allison M Walter
• Rachel Ware, OTD, OTR/L
• Elyse Mackenzie Warren, DPT

• Dentist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.