Richard Clayton Adams, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7054 Issued in NC

Practice address

413 Owens Drive
Suite 102
Fayetteville, NC 28304

Phone

(910) 496-9400

Fax

(910) 496-9402

NPI assigned

Dec 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083772438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 LOCKWOOD RD",
            "address_2": "SUITE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035020",
            "telephone_number": "910-778-9746",
            "fax_number": "910-778-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 OWENS DRIVE",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-496-9400",
            "fax_number": "910-496-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "RICHARD",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902AX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahalia Lynne Adams, MOT OTR/L
• Maria Antoinetta Adams, RN, CRNA
• Miriah Catherine Adams, RN
• Naja Adams
• Natazia Adams
• Stefanie Adams, MSW, LCSWA
• Tameka S Adams, DPC
• Kurt B Adamson, DMD
• Nimet Adatia, DDS
• Kehinde Adediran

• Oral and Maxillofacial Surgery (Dentist) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• 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.