Individual provider Active NPI

Tatiana Denning, D.O

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1861723918
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102202474 Issued in VA
Practice address
4911 Augusta Ave
Richmond, VA 23230-3601
Phone
(804) 300-1923
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102202474 VA Primary

Addresses

Primary practice location

4911 Augusta Ave
Richmond, VA 23230-3601

Mailing address

16 E Berry St
Sandston, VA 23150-2015
Phone (804) 300-1923

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000074 VA Practitioner - Family Practice 7719130178 Reassigns benefits to 1 organization
Practice locations: Henrico, VA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rejuvinix LLCGroup PAC ID 0345513537, 4 clinicians

Practice addresses (Care Compare)

4701 Columbus St
Suite 100
Virginia Beach, VA 23462-6725
Phone (414) 736-1317

7301 Forest Ave
Suite 204
Richmond, VA 23226-3792
Phone (804) 533-5399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102202474VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvinix, LLC CurrentSince Sep 24, 2024 Accepting new patients

Locations

7301 Forest Ave
Ste 204
Richmond, VA 23226
Phone (804) 506-3069

4701 Columbus St
Ste 100
Virginia Beach, VA 23462
Phone (414) 736-1317

15255 Watertown Plank Rd
Ste 200
Elm Grove, WI 53122
Phone (414) 736-1317

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1861723918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E BERRY ST",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231502015",
            "telephone_number": "804-300-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 AUGUSTA AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303601",
            "telephone_number": "804-300-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNING",
        "first_name": "TATIANA",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.