DR. JOHN SCOTT REPASS SR. (NPI# 1619167319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619167319 |
| Entity Type | Individual |
| Full Name | DR. JOHN SCOTT REPASS SR. |
| Credential | DDS |
| Practice Address |
102 Highland Ave Se 301 Community Medical Bldg Roanoke VA 24013-2253 |
| Practice Telephone | 5403431769 |
| Practice Fax Number | 5403421606 |
| Mailing Telephone | 5403431769 |
| Mailing Fax Number | 5403421606 |
| Enumeration Date | 2007-07-29 |
| Last Update Date | 2007-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401003883 | VA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3883 | VA | Dental Providers |
| Street Address |
102 HIGHLAND AVE SE 301 COMMUNITY MEDICAL BLDG |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880408 | Kurt Y. Chen | Specialist | 102 Highland Ave Se, Ste 104, Roanoke, VA 24013-2255 | 2005-06-09 |
| 1235383555 | Vanessa Lee Hedge | Nurse Practitioner | 102 Highland Ave Se, Suite 301, Roanoke, VA 24013-2256 | 2008-11-13 |
| 1790945319 | Christopher Andrew Rippel | Urology | 102 Highland Ave Se, Suite 105, Roanoke, VA 24013-2256 | 2008-06-17 |
| 1992904353 | Valley Ob/gyn, PC | Exclusive Provider Organization | 102 Highland Ave Se, Ste. 304, Roanoke, VA 24013-2256 | 2007-07-16 |
| 1609098219 | Emily Ann Evans-hoeker | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 304, Roanoke, VA 24013-2256 | 2007-05-03 |
| 1992832703 | Lillian B Beahm | Audiologist | 102 Highland Ave Se, Roanoke, VA 24013-2256 | 2007-02-28 |
| 1275682098 | Debbie K Cline | Nurse Practitioner | 102 Highland Ave Se, Suite 303, Roanoke, VA 24013-2256 | 2007-01-10 |
| 1811065725 | Isaiah Micah Johnson | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 303, Roanoke, VA 24013-2256 | 2006-11-30 |
| 1598848848 | Head Adn Neck Medicine and Surgery | Specialist | 102 Highland Ave Se, Suite 104, Roanoke, VA 24013-2256 | 2006-10-23 |
| 1982794970 | Urology Associates, Ltd | Specialist | 102 Highland Ave Se, Suite 105, Roanoke, VA 24013-2256 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1447776463 | Dima Zakhour | Dentist | 2840 Hershberger Rd Nw, Roanoke, VA 24017-1911 | 2017-08-22 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| 1982086609 | Chelsea Randall | Dentist | 2523 Rosalind Ave Sw, Roanoke, VA 24014-2370 | 2015-06-19 |
| 1306225529 | Ideal Dental of Roanoke Pllc | Dentist | 860 East Highway 114, Suite 200, Roanoke, TX 76262 | 2015-05-20 |
| 1609210962 | Claire Dickey Farr | Dentist | 1510 Franklin Rd Sw, Roanoke, VA 24016-5207 | 2013-04-17 |
| 1104181254 | Juliet Adobea Wryter | Dentist | 5002 Airport Rd Nw Unit 130, Roanoke, VA 24012-1607 | 2012-07-05 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.