Active NPI
Charlotte J Richards MD PC
- Specialist
- Milton, MA
National Provider Identifier
1104083138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 59904
- Legal business name
- CHARLOTTE J RICHARDS MD PC
- Practice address
- 100 Highland St
Suite 103
Milton, MA 02186-3881 - Phone
- (617) 686-4966
- Fax
- (617) 696-7012
- NPI assigned
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charlotte J Richards, M.D.
- Title
- President
- Phone
- (617) 696-4966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 59904 | MA | Primary |
Addresses
Primary practice location
100 Highland St
Suite 103
Milton, MA 02186-3881
Mailing address
100 Highland St
Suite 103
Milton, MA 02186-3881
Phone (617) 686-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3038068 | Medicaid | MA |
Other names 1
- CHARLOTTE J RICHARDS MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1104083138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGHLAND ST",
"address_2": "SUITE 103",
"city": "MILTON",
"state": "MA",
"postal_code": "021863881",
"telephone_number": "617-686-4966",
"fax_number": "617-696-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGHLAND ST",
"address_2": "SUITE 103",
"city": "MILTON",
"state": "MA",
"postal_code": "021863881",
"telephone_number": "617-686-4966",
"fax_number": "617-696-7012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE J RICHARDS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-696-4966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "59904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3038068",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHARLOTTE J RICHARDS MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.