Organization Active NPI

Richard D. Kent, D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Woodstock, VA
National Provider Identifier
1164635082
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103001004 Issued in VA
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

Updated by the provider on Feb 20, 2008

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9302743MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.