Syed Shoaib Razi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401419622 Issued in VA

Practice address

4907 Brambleton Ave
Cave Spring, VA 24018-4149

Phone

(540) 774-3143

NPI assigned

Jul 31, 2024

Reactivated

Aug 14, 2025

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James W Willis VII DDS PLC

  dba Roanoke Dental Center

  • Dentist
  • Roanoke, VA
  • NPI 1841907144
  NPD (past)
• James W Willis XI DDS PLC

  dba Northeast Roanoke Dentistry

  • Dentist
  • Roanoke, VA
  • NPI 1558078857
  NPD (past)

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1669201307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 BRAMBLETON AVE",
            "city": "CAVE SPRING",
            "state": "VA",
            "postal_code": "240184149",
            "telephone_number": "917-251-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 BRAMBLETON AVE",
            "city": "CAVE SPRING",
            "state": "VA",
            "postal_code": "240184149",
            "telephone_number": "540-774-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1934 Thomson Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011028",
            "country_code": "US",
            "telephone_number": "540-315-3725",
            "fax_number": "434-255-0262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2660 Electric Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240183530",
            "country_code": "US",
            "telephone_number": "540-774-8288",
            "fax_number": "540-301-6252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2913 Orange Ave NE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240126338",
            "country_code": "US",
            "telephone_number": "540-342-8781",
            "fax_number": "540-342-8782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZI",
        "first_name": "SYED",
        "middle_name": "SHOAIB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "deactivation_date": "2025-05-13",
        "reactivation_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cave Spring, VA
• Providers in Cave Spring, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.