Organization Active NPI

Richmond Family Dentistry at Short Pump

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1285329052
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHMOND FAMILY DENTISTRY AT SHORT PUMP
Practice address
11736 W Broad St Ste C-112
Richmond, VA 23233-1189
Phone
(310) 995-0492
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Authorized official

Name
Rasha Touma, DDS
Title
Dr
Phone
(310) 308-2590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11736 W Broad St Ste C-112
Richmond, VA 23233-1189

Mailing address

11736 W Broad St Ste C-112
Richmond, VA 23233-1189

National Provider Directory

National Provider Directory

Locations

11736 W Broad St
Ste C112
Richmond, VA 23233
Phone (310) 995-0492

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": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1285329052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11736 W BROAD ST STE C-112",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11736 W BROAD ST STE C-112",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331189",
            "telephone_number": "310-995-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND FAMILY DENTISTRY AT SHORT PUMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "TOUMA",
        "authorized_official_first_name": "RASHA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "310-308-2590",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.