Karl Randy Richards, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D-3601 Issued in ID

Practice address

US Army Dental Command
2240 E. Winrow Ave
Fort Huachuca, AZ 85613

Phone

(520) 533-3147

Fax

(520) 533-5046

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1174580658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL COMMAND",
            "address_2": "2240 E. WINROW AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-3147",
            "fax_number": "520-533-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL COMMAND",
            "address_2": "2240 E. WINROW AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-3147",
            "fax_number": "520-533-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KARL",
        "middle_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3601",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "ID",
            "license": "D-3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Realyvasquez
• Margaret Mary Register, RN
• Rebecca Reyes, MD
• Gus F Rhoades, FNP
• Donald G Rice, D.M.D.
• Melissa Dawn Rife, PHARMD
• Jerome Joseph Roche Jr., M.D.
• Jennifer Lynne Rodriguez, RD, LD
• Lydia Rodriguez
• Jennifer Rust

• Prosthodontics in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.