Individual provider Active NPI

Wayne Ernest Booker, DDS

  • Dentist
  • Yorktown, VA
National Provider Identifier
1497821110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006044 Issued in VA
Practice address
6632 George Washington Memorial Highway
Yorktown, VA 23692-4801
Phone
(757) 898-5468
Fax
(757) 898-3035
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401006044 VA Primary

Addresses

Primary practice location

6632 George Washington Memorial Highway
Yorktown, VA 23692-4801

Mailing address

6632 George Washington Memorial Highway
Yorktown, VA 23692-4801
Phone (757) 898-5468

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

LicenseStateTypeSpecialty
0401006044VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.S Morgan and Booker L.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497821110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 GEORGE WASHINGTON MEMORIAL HIGHWAY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924801",
            "telephone_number": "757-898-5468",
            "fax_number": "757-898-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 GEORGE WASHINGTON MEMORIAL HIGHWAY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924801",
            "telephone_number": "757-898-5468",
            "fax_number": "757-898-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "WAYNE",
        "middle_name": "ERNEST",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.