Organization Active NPI

Diamond Venom Artistry LLC

  • Customized Equipment (DME)
  • Richmond, VA
National Provider Identifier
1023780558
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DIAMOND VENOM ARTISTRY LLC
Practice address
3089 Hull St
Richmond, VA 23224-3575
Phone
(804) 938-1200
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dezaray PurnellNPI 1639825771
Title
Owner / Manager
Phone
(804) 938-1200

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
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3089 Hull St
Richmond, VA 23224-3575

Mailing address

3089 Hull St
Richmond, VA 23224-3575

National Provider Directory

National Provider Directory

Locations

3089 Hull St
Richmond, VA 23224
Phone (804) 269-0168

Practitioners & affiliated clinicians

Practitioners 1

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": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1023780558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243575",
            "telephone_number": "804-938-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND VENOM ARTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "DEZARAY",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "804-938-1200"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.