Organization Active NPI

Dominion Craftsman Services,LLC

  • Home Modifications Contractor
  • Haymarket, VA
National Provider Identifier
1265627103
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
2705105044 Issued in VA
Legal business name
DOMINION CRAFTSMAN SERVICES,LLC
Practice address
5011 Warwick Hills CT
Haymarket, VA 20169-3185
Phone
(703) 508-5976
Fax
(571) 261-2746
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Mr. John Joseph UllmanNPI 1770773624
Title
Owner
Phone
(703) 508-5976

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
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X 2705105044 VA Primary

Addresses

Primary practice location

5011 Warwick Hills CT
Haymarket, VA 20169-3185

Mailing address

5011 Warwick Hills CT
Haymarket, VA 20169-3185
Phone (703) 508-5976

National Provider Directory

National Provider Directory

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1265627103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 WARWICK HILLS CT",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693185",
            "telephone_number": "703-508-5976",
            "fax_number": "571-261-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 WARWICK HILLS CT",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693185",
            "telephone_number": "703-508-5976",
            "fax_number": "571-261-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION CRAFTSMAN SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "ULLMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-508-5976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705105044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.