Brian Wayne Spears, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410890 Issued in VA

Practice address

130 Thompson St
Ashland, VA 23005-1526

Phone

(804) 798-2776

NPI assigned

Feb 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1184956906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 S CRESTWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262404",
            "telephone_number": "804-239-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THOMPSON ST",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051526",
            "telephone_number": "804-798-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "BRIAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Smith, SCHOOL COUNSELOR
• Glenna Noelle Armistead Smith, NP
• John C. Smith Jr., D.D.S
• Leila Smith, PTA
• Max Henry Smith, PTA
• Specialty Nutrition and Health
• Jennifer L Staas, DDS
• Brigite Marie Stark, NP
• Lindsey Steadman
• Stepping Stone Chiropractic, PC

• All providers in Ashland, VA
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.