Individual provider Active NPI

Richard D. Kent, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Woodstock, VA
National Provider Identifier
1215952551
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103001004 Issued in VA
Practice address
641 N Main St
Woodstock, VA 22664-1804
Phone
(540) 459-3663
Fax
(540) 459-2206
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0103001004 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 0103001004 VA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 0103001004 VA

Addresses

Primary practice location

641 N Main St
Woodstock, VA 22664-1804

Mailing address

641 N Main St
Woodstock, VA 22664-1804
Phone (540) 459-3663

Other identifiers 1

IdentifierTypeStateIssuer
9302743MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103001004VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Emily Chan PLC CurrentSince Oct 21, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

641 N Main St
Woodstock, VA 22664
Phone (540) 459-1990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1215952551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 N MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641804",
            "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": "641 N MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641804",
            "telephone_number": "540-459-3663",
            "fax_number": "540-459-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103001004",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103001004",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103001004",
            "primary": false
        }
    ],
    "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 Sep 12, 2023; 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.