Active NPI
Vernon Lee Rainey, DDS
- General Practice Dentistry
- Suffolk, VA
National Provider Identifier
1356455562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401005022
- Practice address
- 426 West Washington St
Suffolk, VA 23434-5363 - Phone
- (757) 934-0476
- Fax
- (757) 539-1321
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401005022 | VA | Primary |
Addresses
Primary practice location
426 West Washington St
Suffolk, VA 23434-5363
Mailing address
PO Box 3296
Suffolk, VA 23439-3296
Phone (757) 934-0476
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401005022 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356455562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3296",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234393296",
"telephone_number": "757-934-0476",
"fax_number": "757-539-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 WEST WASHINGTON ST",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345363",
"telephone_number": "757-934-0476",
"fax_number": "757-539-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEY",
"first_name": "VERNON",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401005022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.