Individual provider Active NPI

Marc Benson Richling, D.D.S.

  • General Practice Dentistry
  • Miller Place, NY
National Provider Identifier
1124178413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029566 Issued in NY
Practice address
555 Route 25a
Miller Place, NY 11764-2625
Phone
(631) 744-0202
Fax
(631) 744-0257
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 029566 NY Primary

Addresses

Primary practice location

555 Route 25a
Miller Place, NY 11764-2625

Mailing address

555 Route 25a
Miller Place, NY 11764-2625
Phone (631) 744-0202

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
029566NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124178413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642625",
            "telephone_number": "631-744-0202",
            "fax_number": "631-744-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642625",
            "telephone_number": "631-744-0202",
            "fax_number": "631-744-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHLING",
        "first_name": "MARC",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • 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.