NPIMap

Organization Active NPI

Collaborative Arthritis Care, Inc

  • Rheumatology Physician
  • Colonial Heights, VA
National Provider Identifier
1477804680
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101238458 Issued in VA
Legal business name
COLLABORATIVE ARTHRITIS CARE, INC
Practice address
300A Temple Lake Dr Ste 1
Colonial Heights, VA 23834-2972
Phone
(804) 524-2400
Fax
(804) 526-1852
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dee Dee Alvis
Title
Administrative Services Manager
Phone
(804) 518-1317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 0101238458 VA Primary

Addresses

Primary practice location

300A Temple Lake Dr Ste 1
Colonial Heights, VA 23834-2972

Mailing address

300A Temple Lake Dr Ste 1
Colonial Heights, VA 23834-2972
Phone (804) 524-2400

National Provider Directory

National Provider Directory

Locations

300A Temple Lake Dr
Ste 1
Colonial Hgts, VA 23834
Phone (804) 524-2400

4465 N Oakland Ave
#300
Shorewood, WI 53211

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1477804680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A TEMPLE LAKE DR STE 1",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342972",
            "telephone_number": "804-524-2400",
            "fax_number": "804-526-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A TEMPLE LAKE DR STE 1",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342972",
            "telephone_number": "804-524-2400",
            "fax_number": "804-526-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE ARTHRITIS CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "ALVIS",
        "authorized_official_first_name": "DEE DEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "804-518-1317"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101238458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.