J J Richardson DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5126 Issued in OK

Legal business name

J J RICHARDSON DDS PLLC

Practice address

840 SE 4TH St
Suite 3a
Moore, OK 73160-7263

Phone

(405) 799-7071

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy J Richardson, DDSNPI 1053313924

Title

Owner

Phone

(405) 799-7071

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy J Richardson, DDS

  • General Practice Dentistry
  • Moore, OK
  • NPI 1053313924
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1134393036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SE 4TH ST",
            "address_2": "SUITE 3A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607263",
            "telephone_number": "405-799-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SE 4TH ST",
            "address_2": "SUITE 3A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607263",
            "telephone_number": "405-799-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J J RICHARDSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-799-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Therapy Solutions of Oklahoma, LLC
• Integris Ambulatory Care Corporation (Integris Health Jim Thorpe Rehabilitation)
• Integris Health
• Integris Jim Thorpe Rehabilitation Moore
• J Carroll Counseling, LLC
• Jerry Jack, DDS
• Jackalope Therapy
• Amy Estelle Jackson, P.T.
• Jessica Elise Jackson, PA-C
• Keri Lee Jackson, PT

• General Practice Dentistry in Moore, OK
• Providers in Moore, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.