Individual provider Active NPI

Amber Faith Deweerd, D.D.S

  • General Practice Dentistry
  • Winchester, VA
National Provider Identifier
1538414156
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414972 Issued in VA
Practice address
1220 Amherst St
Winchester, VA 22601-3006
Phone
(540) 662-4328
NPI assigned
Jul 19, 2012
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414972 VA
General Practice Dentistry 1223G0001X 019029149 IL
General Practice Dentistry 1223G0001X 0401414972 VA Primary

Addresses

Primary practice location

1220 Amherst St
Winchester, VA 22601-3006

Mailing address

1220 Amherst St
Winchester, VA 22601-3006
Phone (540) 450-2100

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
019029149ILMDGeneral Practice Dentistry
0401414972VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. King, D.D.S. PastSince Nov 8, 2020 Accepting new patients
Smiles of Virginia Family Dental Center, PLLC PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1538414156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013006",
            "telephone_number": "540-450-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013006",
            "telephone_number": "540-662-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEERD",
        "first_name": "AMBER",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414972",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029149",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.