Jerry Mark Richman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8907 Issued in GA

Practice address

4200 Northside Pkwy NW BLDG 4-200
Atlanta, GA 30327-3063

Phone

(404) 841-9500

Fax

(404) 841-0405

NPI assigned

Mar 30, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144340431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 ORCHARD LAKE CT SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394634",
            "telephone_number": "770-436-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW BLDG 4-200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273063",
            "telephone_number": "404-841-9500",
            "fax_number": "404-841-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "JERRY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan H Richey, CRNA
• Margaret Ann Richichi, L.AC.
• Theresa Richie, LPN
• Colin S. Richman, DMD
• Daniel Richman, MD
• Richmond Logistics LLC
• Allyson B. Richmond, PAAA
• Joi Sanne Brown Richmond, MD
• Kendrell A Richmond
• Krystle L Richmond

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• 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.