Active NPI
Adam Richards, DMD
- General Practice Dentistry
- Marion, KS
National Provider Identifier
1003553603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61855
- Practice address
- 1015 Melvin St
Marion, KS 66861-1235 - Phone
- (620) 382-2520
- NPI assigned
- May 16, 2022
- Last updated
- May 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61855 | KS | Primary |
Addresses
Primary practice location
1015 Melvin St
Marion, KS 66861-1235
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Phone (918) 998-0996
Other practice location 1
10333 E 21st St N
Wichita, KS 67206-3543
Phone (316) 684-1470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61855 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Family Smiles, P.a. | Current | Accepting new patients | |
| Cottonwood Dental Kellogg, P.a. | Past | Accepting new patients | |
| Reusser and Reusser, LLC | Past | Accepting new patients | |
| Witchita 21St Dental, PA | General Practice | Past | Accepting new patients |
Locations
1015 Melvin St
Marion, KS 66861
Phone (620) 382-2520
400 Riverwalk Ter
Ste 250
Jenks, OK 74037
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Marion, KS
- NPI 1891450037
-
- Dental Clinic/Center
- Wichita, KS
- NPI 1063099943
-
- General Practice Dentistry
- Wichita, KS
- NPI 1639799307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1003553603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RIVERWALK TER STE 250",
"city": "JENKS",
"state": "OK",
"postal_code": "740375619",
"telephone_number": "918-998-0996",
"fax_number": "918-235-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 MELVIN ST",
"city": "MARION",
"state": "KS",
"postal_code": "668611235",
"telephone_number": "620-382-2520"
}
],
"practiceLocations": [
{
"address_1": "10333 E 21st St N",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672063543",
"country_code": "US",
"telephone_number": "316-684-1470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDS",
"first_name": "ADAM",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "61855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.