Zachary Michael Richardson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D-4579 Issued in ID

Practice address

782 S Americana Blvd
Boise, ID 83702-6733

Phone

(208) 345-8962

NPI assigned

Jun 11, 2014

Sex

Male

Sole proprietor

Yes

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

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.

• Aspen Creek Dental PLLC

  • General Practice Dentistry
  • Nampa, ID
  • NPI 1285884056
  NPD (past)

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1265845820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 BIRCH LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874148",
            "telephone_number": "208-936-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 S AMERICANA BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026733",
            "telephone_number": "208-345-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ZACHARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Richardson
• Jeffery Carl Richardson, CRNA-DNP
• Kenneth E Richardson, D.D.S.
• Rosalia Richardson, MD
• Taylor Richardson, SLP
• Adrian Richey, MD
• Elizabeth A. Richey, PT
• Pohley Richey, B.S RD, LD
• Janeen Schwieder Richins, M.D.
• Anthony A Richitella, MA CF SLP

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.