Active NPI
Rai Care Centers of Virginia I, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Williamsburg, VA
National Provider Identifier
1962434035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RAI CARE CENTERS OF VIRGINIA I, LLC
- Practice address
- 7364 Richmond Rd
Williamsburg, VA 23188-7220 - Phone
- (757) 220-3084
- Fax
- (757) 565-5318
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon M Sundock
- Title
- Vice President
- Phone
- (615) 507-3307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
7364 Richmond Rd
Williamsburg, VA 23188-7220
Mailing address
115 East Park Drive
Suite 300
Brentwood, TN 37027-7548
Phone (615) 661-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201056 | Other | VA | ANTHEM BCBS |
Other names 1
- RAI-Richmond Rd.-Williamsburg
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962434035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 EAST PARK DRIVE",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277548",
"telephone_number": "615-661-1100",
"fax_number": "615-507-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7364 RICHMOND RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231887220",
"telephone_number": "757-220-3084",
"fax_number": "757-565-5318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAI CARE CENTERS OF VIRGINIA I, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUNDOCK",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-507-3307",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "201056",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RAI-Richmond Rd.-Williamsburg",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Williamsburg, 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.