Richardson Dental and Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3463-08 Issued in MS

Legal business name

RICHARDSON DENTAL AND ASSOCIATES

Practice address

1227 Highway 45 N
Columbus, MS 39705-2138

Phone

(662) 327-2002

Fax

(366) 232-7201

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Donnie J Richardson, DMD

Title

Owner

Phone

(662) 327-2002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Magnolia Family Dentistry of Columbus Other name

Locations

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1295013340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052138",
            "telephone_number": "662-327-2002",
            "fax_number": "366-232-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052138",
            "telephone_number": "662-327-2002",
            "fax_number": "366-232-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON DENTAL AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3463-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "001989359",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02150825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Family Dentistry of Columbus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Revive Physical Therapy, LLC
• Andrew Scott Reynolds, OT
• Kaleigh Reynolds
• Charles S. Rhea Jr., MD
• Cali Spell Rhett, DDS
• Donnie Joe Richardson Jr., DMD
• Jalesa J Richardson
• Kelly Richardson, FNP-C
• Edward Riley, MD
• Ashlee Robbins, FNP-BC

• General Practice Dentistry in Columbus, MS
• Providers in Columbus, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.