William Clinton Jeffrey, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410953 Issued in VA

Practice address

2165 Cunningham Dr
Hampton, VA 23666-2569

Phone

(757) 827-5665

NPI assigned

May 30, 2006

Sex

Male

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 2

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1285681635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ADRIATIC DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236641902",
            "telephone_number": "606-623-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 CUNNINGHAM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662569",
            "telephone_number": "757-827-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "WILLIAM",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0401410953",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY DENTAL LICENSE",
            "identifier": "8555",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasper N Watts,DDS,LLC (Watts Family Dentistry)
• Michael Jefferies, M.D.
• Arthur Darrell Jefferson
• Rashida Jefferson, LCSW
• Gail Jeffrey, AAS IN HUMAN SERV
• Koorosh Jeiran, PHARM.D
• Jem23,LLC (Home Helpers-Peninsula)
• Courtney Paige Jenkins-Lipscomb, PHARMD
• Candice S Jenkins, LPC
• Denisha Jenkins

• General Practice Dentistry in Hampton, VA
• Providers in Hampton, 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 Mar 5, 2008; 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.