Individual provider Active NPI

Greg Richards, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1003877697
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15869 Issued in TX
Practice address
1121-19 Uptown Park Blvd
Houston, TX 77056-3226
Phone
(713) 782-8100
Fax
(713) 621-6261
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15869 TX Primary

Addresses

Primary practice location

1121-19 Uptown Park Blvd
Houston, TX 77056-3226

Mailing address

1121-19 Uptown Park Blvd
Houston, TX 77056-3226
Phone (713) 782-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15869TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn M. Rodgers, DDS, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1003877697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121-19 UPTOWN PARK BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563226",
            "telephone_number": "713-782-8100",
            "fax_number": "713-621-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121-19 UPTOWN PARK BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563226",
            "telephone_number": "713-782-8100",
            "fax_number": "713-621-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.