Active NPI
John'E Jasper Epps, DDS, PLC
- General Practice Dentistry
- North Chesterfield, VA
National Provider Identifier
1285035444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414327
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905431 | Medicaid | NC |
Other names 1
- Heavenly Hands Dentistry
National Provider Directory
National Provider DirectoryLocations
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.