Active NPI
Richard D. Kent, D.P.M., P.C.
- Foot & Ankle Surgery Podiatrist
- Woodstock, VA
National Provider Identifier
1164635082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103001004
- Legal business name
- RICHARD D. KENT, D.P.M., P.C.
- Practice address
- 118 S Main St
Woodstock, VA 22664-1489 - Phone
- (540) 459-3663
- Fax
- (540) 459-2206
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard David Kent, D.P.M.
- Title
- Owner
- Phone
- (540) 459-3663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103001004 | VA | Primary |
Addresses
Primary practice location
118 S Main St
Woodstock, VA 22664-1489
Mailing address
118 S Main St
Woodstock, VA 22664-1489
Phone (540) 459-3663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9302743 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
641 N Main St
Woodstock, VA 22664
Phone (540) 459-1990
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Woodstock, VA
- NPI 1649623414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1164635082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226641489",
"telephone_number": "540-459-3663",
"fax_number": "540-459-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226641489",
"telephone_number": "540-459-3663",
"fax_number": "540-459-2206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD D. KENT, D.P.M., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "KENT",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-459-3663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103001004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9302743",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.