Individual provider Active NPI

Robert Andrew Dreelin, DDS.,PC

  • General Practice Dentistry
  • Hampton, VA
National Provider Identifier
1548341365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006140 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
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
General Practice Dentistry 1223G0001X 0401006140 VA Primary

Addresses

Primary practice location

3834 Kecoughtan Rd
Hampton, VA 23669-4402

Mailing address

3834 Kecoughtan Rd
Hampton, VA 23669-4402
Phone (757) 727-7726

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
0401006140VAMDGeneral Practice Dentistry

NPI Registry JSON

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": "1548341365",
    "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": "DREELIN",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "credential": "DDS.,PC",
        "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": "0401006140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, 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.