Madison Ann Squire, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

040147038 Issued in VA

Practice address

272 Bendix Rd.
Suite 650
Virginia Beach, VA 23452

Phone

(757) 499-9639

Fax

(757) 480-2288

NPI assigned

Jul 20, 2020

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephanie L. Santos, DDS, PC

  dba Smile By Design, a Division of Atlantic Dental Care

  • Dentist
  • Virginia Beach, VA
  • NPI 1891126777
  NPD (past)
• Stephanie L. Santos, DDS, PV

  • Dentist
  • Virginia Beach, VA
  • NPI 1053429886
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1386252021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENDIX ROAD",
            "address_2": "SUITE 650",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-499-9639",
            "fax_number": "757-480-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BENDIX RD.",
            "address_2": "SUITE 650",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-499-9639",
            "fax_number": "757-480-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "MADISON",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-08-21",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "040147038",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linwood Ray Spruiell, MD
• Michael Spruiell, M.D.
• John Spruill Jr.
• Jaelah Camelle Spurling
• Deborah Ward Squibb, RPH
• Kayla Renee Sralla, RRT
• Tunwarut Srimuang, DDS, MS
• Laauthida Srinarula
• Rajesh Sriraman, MD
• Jesse W St Clair III, MD

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.