Jordan Chay Richert, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

102191 Issued in CA

Practice address

895 Moraga Rd Ste 6
Lafayette, CA 94549-5039

Phone

(925) 283-8101

NPI assigned

May 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jordan Richert DMD, PC

  • Periodontics
  • Lafayette, CA
  • NPI 1306466172
  NPD Authorized official

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1194160689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 OAK ST APT 740",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074627",
            "telephone_number": "480-358-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 MORAGA RD STE 6",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495039",
            "telephone_number": "925-283-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Santa Rosa St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934052431",
            "country_code": "US",
            "telephone_number": "805-544-2381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Harden Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939065287",
            "country_code": "US",
            "telephone_number": "813-443-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Union St Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941234107",
            "country_code": "US",
            "telephone_number": "415-447-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5277 College Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946181437",
            "country_code": "US",
            "telephone_number": "510-923-0699",
            "fax_number": "510-952-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Larkspur Landing Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391822",
            "country_code": "US",
            "telephone_number": "415-461-5280",
            "fax_number": "415-461-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHERT",
        "first_name": "JORDAN",
        "middle_name": "CHAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2020-12-16",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "102191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Nelson Reed III, M.D.
• Denise J Reynolds, MFT
• Deena Danielle Rice
• Kelly Rice
• Richard W. Baker, O.D.
• Shawn Rigdon, DPT
• Reyna Selena Rios
• Angela Ristow, LCSW
• Daniel Robbins, MD
• Cavett M. Robert Jr., M.D., F.A.C.S.

• Periodontics in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.