Organization Active NPI

John W. Richard, MD, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Plano, TX
National Provider Identifier
1265894604
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N7580 Issued in TX
Legal business name
JOHN W. RICHARD, MD, PLLC
Practice address
4604 Sebago TRL
Plano, TX 75093-3394
Phone
(214) 952-3445
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
John Wesley Richard III, M.D.NPI 1659581643
Title
President
Phone
(214) 952-3445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X N7580 TX Primary

Addresses

Primary practice location

4604 Sebago TRL
Plano, TX 75093-3394

Mailing address

4604 Sebago Trail
Plano, TX 75093
Phone (214) 952-3445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160420002006 TX Part B Supplier - Clinic/Group Practice 4789982992 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX; Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1265894604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 SEBAGO TRAIL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "214-952-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SEBAGO TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933394",
            "telephone_number": "214-952-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. RICHARD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-952-3445",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N7580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.