Organization Active NPI

DC Recreations & Resources

  • Prevention Professional
  • Henrico, VA
National Provider Identifier
1972378800
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
DC RECREATIONS & RESOURCES
Practice address
405 East Laburnum Ave
Suite 3
Henrico, VA 23222
Phone
(804) 625-1770
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dominica Merriwether
Title
Executive Director
Phone
(804) 625-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

405 East Laburnum Ave
Suite 3
Henrico, VA 23222

Mailing address

7916 Provincetown Dr
North Chesterfield, VA 23235-5324
Phone (631) 299-9707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1972378800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 PROVINCETOWN DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355324",
            "telephone_number": "631-299-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 EAST LABURNUM AVE",
            "address_2": "SUITE 3",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23222",
            "telephone_number": "804-625-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC RECREATIONS & RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MERRIWETHER",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-625-1770"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.