NPIMap

Organization Active NPI

S. Rai. DDS.,P.C.

  • General Practice Dentistry
  • Stafford, VA
National Provider Identifier
1871695650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007933 Issued in VA
Legal business name
S. RAI. DDS.,P.C.
Practice address
239 Garrisonville Rd
102
Stafford, VA 22554-1554
Phone
(540) 657-0867
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shivaprasanna Rai, DDSNPI 1447352224
Title
President
Phone
(540) 657-0867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007933 VA Primary

Addresses

Primary practice location

239 Garrisonville Rd
102
Stafford, VA 22554-1554

Mailing address

239 Garrisonville Rd
102
Stafford, VA 22554-1554
Phone (540) 657-0867

National Provider Directory

National Provider Directory

Locations

239 Garrisonville Rd
Ste 102
Stafford, VA 22554
Phone (540) 657-0867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871695650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GARRISONVILLE RD",
            "address_2": "102",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541554",
            "telephone_number": "540-657-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GARRISONVILLE RD",
            "address_2": "102",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541554",
            "telephone_number": "540-657-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. RAI. DDS.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "SHIVAPRASANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-657-0867",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.