Wraycon, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

2705117776 Issued in VA

Legal business name

WRAYCON, LLC

Practice address

4505 Martinwood Dr
Haymarket, VA 20169-2208

Phone

(703) 470-1391

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Clyde William Wray

Title

President

Phone

(703) 470-1391

Specialties & licenses 3

Addresses

Other names 1

• Aspen Fence & Deck Doing business as

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1710120563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201680285",
            "telephone_number": "703-470-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 MARTINWOOD DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692208",
            "telephone_number": "703-470-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRAYCON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-470-1391"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "VA",
            "license": "2705117776",
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705117776",
            "primary": false
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": "VA",
            "license": "2705117776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Fence & Deck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Contractor in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.