Individual provider Active NPI

John Wayne Hooker, DDS

  • Dentist
  • Abingdon, VA
National Provider Identifier
1891838207
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414395 Issued in VA
Practice address
915 W Main St Ste 100
Abingdon, VA 24210-2481
Phone
(276) 628-9507
Fax
(276) 628-9439
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5498 NC
Durable Medical Equipment & Medical Supplies 332B00000X 0401414395 VA
Dentist 122300000X 0401414395 VA Primary

Addresses

Primary practice location

915 W Main St Ste 100
Abingdon, VA 24210-2481

Mailing address

PO Box 2045
Abingdon, VA 24212-2045
Phone (276) 628-9507

Other practice location 1

915 W Main St Ste 200
Abingdon, VA 24210-2481
Phone (276) 274-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181017002698 NC Practitioner - Dentist 4688807290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5498NCMDGeneral Practice Dentistry
0401414395VAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Aug 21, 2018 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University General Practice CurrentSince Aug 21, 2018 Accepting new patients
Sleep Better Abingdon, LLC Dentist Past Accepting new patients
J. W. Hooker, DDS, PA General Practice PastSince Mar 31, 2014 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 5

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1891838207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2045",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242122045",
            "telephone_number": "276-628-9507",
            "fax_number": "276-628-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MAIN ST STE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102481",
            "telephone_number": "276-628-9507",
            "fax_number": "276-628-9439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 W Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102481",
            "country_code": "US",
            "telephone_number": "276-274-1085",
            "fax_number": "276-628-9439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOKER",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5498",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0401414395",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.