Active NPI
Richard Frank Weatherill III, D.D.S., B.SC.
- Dentist
- Kennewick, WA
National Provider Identifier
1073789178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60013025
- Practice address
- 6335 Rio Grande Ave
Kennewick, WA 99336 - Phone
- (509) 579-5830
- NPI assigned
- May 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 000 | WA | |
| Dentist | 122300000X | DE60013025 | WA | Primary |
Addresses
Primary practice location
6335 Rio Grande Ave
Kennewick, WA 99336
Mailing address
6335 Rio Grande Ave
Kennewick, WA 99336
Phone (509) 579-5830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20260622002306 | WA | Order and Referring Only - Dentist | 7618440611 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Past | Accepting new patients | |
| Dr. Lisa Horschman D.D.S., PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Poulsbo, WA
- NPI 1255996823
-
- Federally Qualified Health Center (FQHC)
- Kennewick, WA
- NPI 1689524290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1073789178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6335 RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "99336",
"telephone_number": "509-579-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "99336",
"telephone_number": "509-579-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERILL",
"first_name": "RICHARD",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S., B.SC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-08",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "000",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60013025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.