Individual provider Active NPI

Richardson L McGuire, D.D.S., M.S.D.

  • Endodontics
  • Austin, TX
National Provider Identifier
1285764480
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22400 Issued in TX
Practice address
6500 N. Mopac Expressway
Building 2 Suite 2207
Austin, TX 78731-3286
Phone
(512) 452-7668
Fax
(512) 452-7663
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 22400 TX Primary

Addresses

Primary practice location

6500 N. Mopac Expressway
Building 2 Suite 2207
Austin, TX 78731-3286

Mailing address

6500 N. Mopac Expressway
BLDG 2 Suite 2207
Austin, TX 78731-3286
Phone (512) 452-7668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22400TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1285764480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N. MOPAC EXPRESSWAY",
            "address_2": "BLDG 2 SUITE 2207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313286",
            "telephone_number": "512-452-7668",
            "fax_number": "512-452-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N. MOPAC EXPRESSWAY",
            "address_2": "BUILDING 2 SUITE 2207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313286",
            "telephone_number": "512-452-7668",
            "fax_number": "512-452-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "RICHARDSON",
        "middle_name": "L",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "22400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.