NPIMap

Individual provider Active NPI

Julia A Richman, DDS MSD MPH

  • Pediatric Dentistry
  • Covington, WA
National Provider Identifier
1093822892
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60069948 Issued in WA
Practice address
17265 SE Wax Rd Ste 103
Covington, WA 98042-9102
Phone
(253) 220-7345
Fax
(253) 248-0162
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DE60069948 WA Primary

Addresses

Primary practice location

17265 SE Wax Rd Ste 103
Covington, WA 98042-9102

Mailing address

17265 SE Wax Rd Ste 103
Covington, WA 98042-9102
Phone (253) 220-7345

Other identifiers 1

IdentifierTypeStateIssuer
1093822892MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dinokidsdentistry.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60069948WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Center Pediatric Dentistry and Orthodontics LLC Pediatric Dentistry Past Accepting new patients
Julia a Richman DDS MSD PLLC Pediatric Dentistry PastSince Dec 15, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1093822892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD STE 103",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429102",
            "telephone_number": "253-220-7345",
            "fax_number": "253-248-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD STE 103",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429102",
            "telephone_number": "253-220-7345",
            "fax_number": "253-248-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "JULIA",
        "middle_name": "A",
        "credential": "DDS MSD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60069948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093822892",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dinokidsdentistry.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17265 SE Wax Rd Ste 103",
            "city": "Covington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980429102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.