Individual provider Active NPI

Reema Rawal, DDS

  • Dentist
  • Williamsburg, VA
National Provider Identifier
1265166383
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417984 Issued in VA
Practice address
4680 Monticello Ave Ste 16a
Williamsburg, VA 23188-8214
Phone
(757) 258-1042
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417984 VA Primary

Addresses

Primary practice location

4680 Monticello Ave Ste 16a
Williamsburg, VA 23188-8214

Mailing address

4680 Monticello Ave Ste 16a
Williamsburg, VA 23188-8214
Phone (757) 258-1042

Other practice location 1

8220 Windmill Watch Dr Ste 100
Mechanicsville, VA 23116-2946
Phone (804) 746-1085

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401417984VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
RNK Williamsburg Dental PLLC PastSince Jul 17, 2022 Accepting new patients
Walter E Saxon Jr DDS PC Past Accepting new patients

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1265166383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 MONTICELLO AVE STE 16A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888214",
            "telephone_number": "757-258-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 MONTICELLO AVE STE 16A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888214",
            "telephone_number": "757-258-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8220 Windmill Watch Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162946",
            "country_code": "US",
            "telephone_number": "804-746-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWAL",
        "first_name": "REEMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.