Active NPI
Jacob Lee Saxton, DDS
- Dentist
- Virginia Beach, VA
National Provider Identifier
1275769432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413269
- Practice address
- 1805 Laskin Rd
#100
Virginia Beach, VA 23454-4538 - Phone
- (757) 321-1870
- Fax
- (757) 963-0468
- NPI assigned
- Jun 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60096175 | WA | |
| Dentist | 122300000X | 0401413269 | VA | Primary |
Addresses
Primary practice location
1805 Laskin Rd
#100
Virginia Beach, VA 23454-4538
Mailing address
1805 Laskin Rd
#100
Virginia Beach, VA 23454-4538
Phone (757) 321-1870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275769432 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413269 | VA | MD | Dentist |
| DE60096175 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacob L. Saxton, DDS, PC | Dentist | 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.
-
- Dentist
- Virginia Beach, VA
- NPI 1285997478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1275769432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 LASKIN RD",
"address_2": "#100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544538",
"telephone_number": "757-321-1870",
"fax_number": "757-963-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 LASKIN RD",
"address_2": "#100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544538",
"telephone_number": "757-321-1870",
"fax_number": "757-963-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAXTON",
"first_name": "JACOB",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-02",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60096175",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275769432",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.