Individual provider Active NPI

Stephen E. Spainhour, D.D.S.

  • Dentist
  • Richmond, VA
National Provider Identifier
1194749937
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006979 Issued in VA
Practice address
8917 Fargo Rd Ste a
Richmond, VA 23229-4500
Phone
(804) 747-7001
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401006979 VA Primary

Addresses

Primary practice location

8917 Fargo Rd Ste a
Richmond, VA 23229-4500

Mailing address

8917 Fargo Rd Ste a
Richmond, VA 23229-4500
Phone (804) 747-7001

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
I20160420002502 VA Order and Referring Only - DentistPractitioner - Dentist 5092013227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401006979VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1194749937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 FARGO RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294500",
            "telephone_number": "804-747-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8917 FARGO RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294500",
            "telephone_number": "804-747-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAINHOUR",
        "first_name": "STEPHEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.