Individual provider Active NPI

Adam Kerr Veitschegger, D.D.S.

  • Dentist
  • Springfield, TN
National Provider Identifier
1598073157
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9812 Issued in TN
Practice address
2105 Park Plaza Dr
Springfield, TN 37172-3937
Phone
(541) 639-5297
Fax
(615) 384-2608
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9512 OR
General Practice Dentistry 1223G0001X D9512 OR
Dentist 122300000X 9812 TN Primary

Addresses

Primary practice location

2105 Park Plaza Dr
Springfield, TN 37172-3937

Mailing address

2105 Park Plaza Dr
Springfield, TN 37172-3937
Phone (541) 639-5297

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
D9512ORMDGeneral Practice Dentistry
9812TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Veitschegger DDS PLLC Dentist 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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1598073157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PARK PLAZA DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723937",
            "telephone_number": "541-639-5297",
            "fax_number": "615-384-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PARK PLAZA DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723937",
            "telephone_number": "541-639-5297",
            "fax_number": "615-384-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEITSCHEGGER",
        "first_name": "ADAM",
        "middle_name": "KERR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9512",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9512",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.