Individual provider Active NPI

John Hobart Speegle, DDS

  • Dentist
  • Williamsburg, VA
National Provider Identifier
1811026313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401005436 Issued in VA
Practice address
7349 Richmond Rd
Williamsburg, VA 23188-7221
Phone
(757) 564-8942
Fax
(757) 564-8667
NPI assigned
Mar 2, 2007
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
Dentist 122300000X 0401005436 VA Primary

Addresses

Primary practice location

7349 Richmond Rd
Williamsburg, VA 23188-7221

Mailing address

206 Cherwell CT
Williamsburg, VA 23188-1800
Phone (757) 565-1546

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150708002495 VA Order and Referring Only - DentistPractitioner - Dentist 4688986318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811026313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CHERWELL CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881800",
            "telephone_number": "757-565-1546",
            "fax_number": "757-564-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 RICHMOND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887221",
            "telephone_number": "757-564-8942",
            "fax_number": "757-564-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEEGLE",
        "first_name": "JOHN",
        "middle_name": "HOBART",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.