Organization Active NPI

Sunrise Dependency Solutions LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roanoke, VA
National Provider Identifier
1023522984
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
0101254261 Issued in VA
Legal business name
SUNRISE DEPENDENCY SOLUTIONS LLC
Practice address
4212 Cypress Park Dr
Roanoke, VA 24018-8417
Phone
(540) 400-7841
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Dr. Kunal T Joshi, MDNPI 1598078651
Title
Member
Phone
(412) 587-3438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0101254261 VA Primary

Addresses

Primary practice location

4212 Cypress Park Dr
Roanoke, VA 24018-8417

Mailing address

3160 Berry LN
Roanoke, VA 24018-6322
Phone (412) 587-3438

National Provider Directory

National Provider Directory

Locations

4212 Cypress Park Dr
Roanoke, VA 24018
Phone (540) 400-7841

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1023522984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 BERRY LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186322",
            "telephone_number": "412-587-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CYPRESS PARK DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188417",
            "telephone_number": "540-400-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DEPENDENCY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "412-587-3438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "VA",
            "license": "0101254261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.