Richard Padron, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

042992 Issued in NY

Practice address

USA Meddac
11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5005

Phone

(315) 772-4342

NPI assigned

Nov 7, 2005

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

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1275514341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 N RIVA RIDGE LOOP",
            "address_2": "US ARMY DENTAL ACTIVITY ATTN CREDENTIALS",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025005",
            "telephone_number": "315-772-4342",
            "fax_number": "315-772-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "11050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025005",
            "telephone_number": "315-772-4342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21100 Cagwin Rd",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136015369",
            "country_code": "US",
            "telephone_number": "315-771-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADRON",
        "first_name": "RICHARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moromoke O Odina, M.D.
• Patrick Murphy Ogden, PA-C
• Jesse Alexander Ojeda
• Ashante Monique Osei Asibey, ATC
• Catherine Padron, L.C.S.W.
• Bethany Brooke Pajak, D.O.
• Soham Parikh, MD
• Eleanor Park
• Gregory John Pataky, APA-C
• David Andrew Paul

• Dentist in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.