Richard L. Defurio, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

2601 Taylor Ave
Racine, WI 53403-2865

Phone

(262) 632-3156

Fax

(262) 632-3063

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southwest Dental Group, S.C.

  • General Practice Dentistry
  • Racine, WI
  • NPI 1003942319
  NPD (past) Authorized official
• Southwest Family Dental Care LLC

  • Dentist
  • Racine, WI
  • NPI 1730781352
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063548360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032865",
            "telephone_number": "262-632-3156",
            "fax_number": "262-632-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032865",
            "telephone_number": "262-632-3156",
            "fax_number": "262-632-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFURIO",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn De la Torre, PT
• Stephen Arthur Declark, LCSW
• Rieanna Dee, MS, OTR
• Tom A Defrancesco, LCSW, CADC
• David Louis Defurio, D.D.S.
• Joyce Shirley Degenhart, PHD
• Jesse Varney Degroat Jr., M.D.
• Kaylee Deisbeck
• Carole Ann Della Pia, LCSW
• John T Dembowiak, LPT

• General Practice Dentistry in Racine, WI
• Providers in Racine, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.