Richard Shinichiro Carlile, D.D.S., MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12720188-9924 Issued in UT

Practice address

93 S Main St
Manti, UT 84642-1350

Phone

(435) 835-4881

NPI assigned

Aug 12, 2011

Last updated

Jan 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Richard S Carlile DDS PLLC

  • Dental Clinic/Center
  • Manti, UT
  • NPI 1912638685
  NPD Authorized official
• Manti Family Dental Clinic

  • General Practice Dentistry
  • Manti, UT
  • NPI 1033324959
  NPD (past)

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1053690644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 S MAIN ST",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846421350",
            "telephone_number": "435-835-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 S MAIN ST",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846421350",
            "telephone_number": "435-835-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLILE",
        "first_name": "RICHARD",
        "middle_name": "SHINICHIRO",
        "name_prefix": "Dr.",
        "credential": "D.D.S., MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413223",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413223",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60745129",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12720188-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Armstrong, MD
• Leonard R. Aste, D.D.S.
• Patrick Au
• Blue Sage Youth Services
• Randall Buitron
• James R Cheney
• Emily Cox, CPCI
• Richard P Cox, PHARM.D.
• Tauamanua Enosa Fiapai
• Michael S Frischknecht, MD

• General Practice Dentistry in Manti, UT
• Providers in Manti, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.