Individual provider Active NPI

Nolen Wayne Richmond, DDS

  • General Practice Dentistry
  • Tripler AMC, HI
National Provider Identifier
1174500300
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010312A Issued in IN
Practice address
1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Phone
(808) 433-1021
Fax
(808) 433-3928
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 12010312A IN Primary

Addresses

Primary practice location

1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000

Mailing address

1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Phone (808) 433-1021

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

State licenses

LicenseStateTypeSpecialty
12010312AINMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174500300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE ROAD",
            "address_2": "ATTN: MCDS-NH US ARMY DENTAL ACTIVITY HAWAII",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-1021",
            "fax_number": "808-433-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE ROAD",
            "address_2": "ATTN: MCDS-NH US ARMY DENTAL ACTIVITY HAWAII",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-1021",
            "fax_number": "808-433-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "NOLEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010312A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler AMC, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.