John Vernon Dale Richardson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39700 Issued in CA

Practice address

1409 Whitley Ave
Suite D
Corcoran, CA 93212

Phone

(559) 992-4138

Fax

(559) 992-4079

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: john.richardson.1@17661.direct.athenahealth.com

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

• John V.D. Richardson, DDS., Inc

  • Dental Clinic/Center
  • Corcoran, CA
  • NPI 1033509435
  NPD (past) Authorized official
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Huron, CA
  • NPI 1134101686
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255480406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WHITLEY AVE",
            "address_2": "SUITE D",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "93212",
            "telephone_number": "559-992-4138",
            "fax_number": "559-992-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WHITLEY AVE",
            "address_2": "SUITE D",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "93212",
            "telephone_number": "559-992-4138",
            "fax_number": "559-992-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOHN",
        "middle_name": "VERNON DALE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recover Medical Group PC
• Aliyah Redoble
• Reedley Community Hospital (Adventist Health Community Care-Corcoran East)
• Reedley Community Hospital (Adventist Health Reedley - Corcoran)
• Keithlyn Richards, PHARM.D
• Chad Brandon Rieckenberg, DPT
• Jerald David Robertson, R.PH.
• Jarrod K. Rodriguez, NP-C
• Patricia Rouch, FNP
• David Roy, MSW

• General Practice Dentistry in Corcoran, CA
• Providers in Corcoran, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.