Riaz Rayek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410397 Issued in VA

Practice address

4210 Fairfax Corner West Ave
Suite 220
Fairfax, VA 22030-8619

Phone

(703) 222-3245

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689727935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25639 ELK LICK RD",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201524277",
            "telephone_number": "703-327-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER WEST AVE",
            "address_2": "SUITE 220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308619",
            "telephone_number": "703-222-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYEK",
        "first_name": "RIAZ",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Anne Ray Tyson, NURSE PRACTITIONER
• Carol Ray
• Kathleen Elizabeth Ray, M.A., CCC-SLP
• Payal Ray
• Ramona Raya, MD
• Samuel F. Rayo, D.D.S.
• RCH Brain & Mind Center VA, PC
• Jordanne E Reader
• Rebecca Morrison Gleed LLC
• Rebuilding Together Arlington/Fairfax/Falls Church

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.