Gloria Johnson Spruiell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007389 Issued in VA

Practice address

15410 Warwick Blvd
Newport News, VA 23608-1576

Phone

(757) 886-9169

Fax

(757) 847-8894

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Interoperability endpoints

• Direct secure messaging: gloria.johnsonspruiell@hrchc.eclinicaldirectplus.com

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.

• Loretta Prosser Graham, DDS, PC

  • General Practice Dentistry
  • Newport News, VA
  • NPI 1295822989
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215024997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081576",
            "telephone_number": "757-886-9169",
            "fax_number": "757-847-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15410 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081576",
            "telephone_number": "757-886-9169",
            "fax_number": "757-847-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUIELL",
        "first_name": "GLORIA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "725238",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spine Care of Tidewater PC
• Yalonda Spinks, BASW, QMHP-A
• Ariel C Spotts
• Carter Sprinkle, RBT
• Sprouting Roots Speech Therapy, LLC
• Mary Mae Spruill
• Ricardo Rafael Squillantini, ATC
• Bharati Srivastava, M.D.
• Tarun Srivastava, DO
• Kelcey L St. Amand, CNM

• General Practice Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.