Individual provider Active NPI

Harry Wooten Squire, DDS

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1700445145
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416532 Issued in VA
Practice address
516 Innovation Dr Ste 302
Chesapeake, VA 23320-3866
Phone
(757) 436-0026
Fax
(757) 547-5658
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 0401416532 VA Primary

Addresses

Primary practice location

516 Innovation Dr Ste 302
Chesapeake, VA 23320-3866

Mailing address

516 Innovation Dr Ste 302
Chesapeake, VA 23320-3866
Phone (757) 436-0026

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
0401416532VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Squire General Practice CurrentSince Sep 14, 2025 Accepting new patients
Dental Professionals of Virginia, P.C General Practice PastSince Apr 27, 2025 Accepting new patients
Chesapeake Family and Implant Dentistry LLC General Practice PastSince Sep 14, 2025 Accepting new patients

Locations

516 Innovation Dr
Ste 302
Chesapeake, VA 23320
Phone (757) 436-0026

Organizations & group practices 3

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1700445145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 INNOVATION DR STE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203866",
            "telephone_number": "757-436-0026",
            "fax_number": "757-547-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 INNOVATION DR STE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203866",
            "telephone_number": "757-436-0026",
            "fax_number": "757-547-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "HARRY",
        "middle_name": "WOOTEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.