Active NPI
Patricia Antoinette Richard, MD DMD
- Interventional Pain Medicine Physician
- Fairfield, CT
National Provider Identifier
1164639399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 025982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 331901 | NY | MD | Dentist |
| DS020377L | PA | MD | Dentist |
| 5086 | CT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 025982 | CT | MD | Internal Medicine Physician |
| ME45906 | FL | MD | Internal Medicine Physician |
| 1469761 | NY | MD | Internal Medicine Physician |
| MD028442E | PA | MD | Internal 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.