Individual provider Active NPI

Patricia Antoinette Richard, MD DMD

  • Interventional Pain Medicine Physician
  • Fairfield, CT
National Provider Identifier
1164639399
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
025982 Issued in CT
Practice address
1735 Post Rd
Unit 6
Fairfield, CT 06824-0702
Phone
(203) 254-8080
Fax
(203) 256-1330
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5086 CT
Dentist 122300000X 331901 NY
Dentist 122300000X DS020377L PA
Internal Medicine Physician 207R00000X 025982 CT
Internal Medicine Physician 207R00000X 1469761 NY
Internal Medicine Physician 207R00000X MD028442E PA
Internal Medicine Physician 207R00000X ME45906 FL
Interventional Pain Medicine Physician 208VP0014X 025982 CT Primary
Interventional Pain Medicine Physician 208VP0014X 1469761 NY
Interventional Pain Medicine Physician 208VP0014X MD028442E PA
Interventional Pain Medicine Physician 208VP0014X ME45906 FL

Addresses

Primary practice location

1735 Post Rd
Unit 6
Fairfield, CT 06824-0702

Mailing address

PO Box 702
1735 Post Rd Unit 6
Fairfield, CT 06824-0702
Phone (203) 254-8080

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
331901NYMDDentist
DS020377LPAMDDentist
5086CTMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
025982CTMDInternal Medicine Physician
ME45906FLMDInternal Medicine Physician
1469761NYMDInternal Medicine Physician
MD028442EPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1164639399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702",
            "address_2": "1735 POST RD UNIT 6",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068240702",
            "telephone_number": "203-254-8080",
            "fax_number": "203-256-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 POST RD",
            "address_2": "UNIT 6",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068240702",
            "telephone_number": "203-254-8080",
            "fax_number": "203-256-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "PATRICIA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "MD DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "5086",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "331901",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020377L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "025982",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1469761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD028442E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME45906",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "025982",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "1469761",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD028442E",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME45906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.