Individual provider Active NPI

Willie Abe Hammontree, D.D.S

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1154633345
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412882 Issued in VA
Practice address
2840 Hershberger Rd NW Ste C
Roanoke, VA 24017-1915
Phone
(540) 366-8325
NPI assigned
Jul 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412882 VA Primary

Addresses

Primary practice location

2840 Hershberger Rd NW Ste C
Roanoke, VA 24017-1915

Mailing address

2840 Hershberger Rd NW Ste C
Roanoke, VA 24017-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401412882VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory S Hughes, D.M.D.,PC General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1154633345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 HERSHBERGER RD NW STE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240171915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 HERSHBERGER RD NW STE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240171915",
            "telephone_number": "540-366-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONTREE",
        "first_name": "WILLIE",
        "middle_name": "ABE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.