Organization Active NPI

John'E Jasper Epps, DDS, PLC

  • General Practice Dentistry
  • North Chesterfield, VA
National Provider Identifier
1285035444
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414327 Issued in VA
Legal business name
JOHN'E JASPER EPPS, DDS, PLC
Practice address
9460 Amberdale Dr
Suite H
North Chesterfield, VA 23236-1259
Phone
(804) 304-9670
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Dr. John'E Jasper Epps, DDS
Title
President
Phone
(804) 304-9670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401414327 VA Primary

Addresses

Primary practice location

9460 Amberdale Dr
Suite H
North Chesterfield, VA 23236-1259

Mailing address

19710 Sioux LN
South Prince George, VA 23805-8830
Phone (804) 304-9670

Other identifiers 1

IdentifierTypeStateIssuer
5905431MedicaidNC

Other names 1

  • Heavenly Hands Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9460 Amberdale Dr
Ste H
North Chesterfield, VA 23236
Phone (804) 304-9670

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1285035444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 SIOUX LN",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238058830",
            "telephone_number": "804-304-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 AMBERDALE DR",
            "address_2": "SUITE H",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361259",
            "telephone_number": "804-304-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN'E JASPER EPPS, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "JOHN'E",
        "authorized_official_middle_name": "JASPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-304-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905431",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hands Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.