David Herzka

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DAVID HERZKA

Practice address

12411 Gayton Rd
Richmond, VA 23238-2272

Phone

(804) 741-9494

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Julia King

Title

Billing Supervisor

Phone

(817) 933-7582

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Richmond ALF Operations LLC Doing business as
• Blue Ridge Senior Living of Richmond Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1679110506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SHADY OAKS TRL",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282320",
            "telephone_number": "817-933-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232382272",
            "telephone_number": "804-741-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HERZKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "817-933-7582"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond ALF Operations LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge Senior Living of Richmond",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Davenport
• Allen James Davia, DDS
• David B Pemberton DDS PC
• David C Circeo, DDS PC
• David C. Circeo D.D.S., P.C.
• David Hoover Consulting LLC
• David Johnston, O.D.
• David W Merrell DDS MSD PLC
• David W. Barber, O.D., LLC
• Daniel Wesley David, MD

• Assisted Living Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.