Active NPI
Richard Santos, DDS
- Dentist
- Camden, NJ
National Provider Identifier
1043301591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02204001
- Practice address
- 817 Federal Street
Camden, NJ 08103 - Phone
- (856) 541-9811
- Fax
- (856) 541-3340
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02204001 | NJ | Primary |
Addresses
Primary practice location
817 Federal Street
Camden, NJ 08103
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
3 Cooper Plz Rm 513
Camden, NJ 08103-1438
Phone (856) 963-3518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019411 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412002861 | NJ | Order and Referring Only - Other (Physician) | 4082912746 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02204001 | NJ | MD | Dentist |
Interoperability endpoints
- rsantos652208@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1043301591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 FEDERAL STREET",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103",
"telephone_number": "856-541-9811",
"fax_number": "856-541-3340"
}
],
"practiceLocations": [
{
"address_1": "3 Cooper Plz Rm 513",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031438",
"country_code": "US",
"telephone_number": "856-963-3518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "RICHARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02204001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019411",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.