Daniel Guy Stockburger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411523 Issued in VA

Practice address

3834 Kecoughtan Rd
Hampton, VA 23669-4402

Phone

(757) 727-7726

Fax

(757) 727-0925

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508947326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 KECOUGHTAN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694402",
            "telephone_number": "757-727-7726",
            "fax_number": "757-727-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 KECOUGHTAN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694402",
            "telephone_number": "757-727-7726",
            "fax_number": "757-727-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKBURGER",
        "first_name": "DANIEL",
        "middle_name": "GUY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Douglas Stewart
• Julia Ann Stickell, D.C.
• Minnie Z Stiff, MD
• Charles Eshel Stith III, NP
• Jasmine Crystal Stith
• Parker Stokes, M.D.
• Louis B. Stokley, OTR
• Aaron Stover, DO, MBA
• Wesley Stowe, M.D,
• Sharee Lashell Stowes, FNP-BC

• 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 Jul 8, 2007; 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.