R. Valentine, Jr., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

VA0101031884 Issued in VA

Legal business name

R. VALENTINE, JR., LLC

Practice address

700 Independence Cir Ste 2a
Virginia Beach, VA 23455-6405

Phone

(757) 473-2021

Fax

(888) 408-2550

NPI assigned

Nov 22, 2017

Organization subpart

No

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

Authorized official

Name

Richard N Valentine Jr., MD

Title

President

Phone

(757) 473-2021

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1659885945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR STE 2A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "757-473-2021",
            "fax_number": "888-408-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR STE 2A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "757-473-2021",
            "fax_number": "888-408-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. VALENTINE, JR., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-473-2021",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "VA0101031884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6259456",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.