Stephen Mario Raia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418992 Issued in VA

Practice address

20936 Timberlake Rd
Lynchburg, VA 24502-7353

Phone

(434) 237-0004

Fax

(434) 237-6597

NPI assigned

Jun 5, 2024

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1881435485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 FARMINGTON PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032922",
            "telephone_number": "360-609-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20936 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027353",
            "telephone_number": "434-237-0004",
            "fax_number": "434-237-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIA",
        "first_name": "STEPHEN",
        "middle_name": "MARIO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiant Health and Wellness LLC
• Radiation Oncology Associates of Lynchburg, Inc.
• Radiology Consultants of Lynchburg
• Radiology Consultants of Lynchburg Inc
• Moira Rafferty, MD
• Catherine Raj, DNP, PMHNP-BC
• Isaac Zoel Raj
• Lisa Rakes, RPH
• Geeta Rakheram, MD
• Peter Gunnar Rambo Jr., AGPCNP-BC

• General Practice Dentistry in Lynchburg, VA
• Providers in Lynchburg, 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 Jun 5, 2024; 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.