Individual provider Active NPI

Brandy Richards, D.D.S, M.S.D

  • Pediatric Dentistry
  • Concord, NC
National Provider Identifier
1174972756
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11098 Issued in NC
Practice address
354 Geo Liles Pkwy NW
Concord, NC 28027-2403
Phone
(980) 999-3186
Fax
(980) 999-3186
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11098 NC Primary

Addresses

Primary practice location

354 Geo Liles Pkwy NW
Concord, NC 28027-2403

Mailing address

354 Geo Liles Pkwy NW
Concord, NC 28027-2403
Phone (980) 999-3186

Other names 1

  • Dr. Brandy Richards Former name

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
11098NCMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1174972756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 GEO LILES PKWY NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272403",
            "telephone_number": "980-999-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 GEO LILES PKWY NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272403",
            "telephone_number": "980-999-3186",
            "fax_number": "980-999-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "BRANDY",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "RICHARDS",
            "prefix": "DR.",
            "credential": "D.D.S, M.S.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.