Individual provider Active NPI

Kilee Richardson

  • Dental Hygienist
  • McKinney, TX
National Provider Identifier
1295465276
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
25118 Issued in TX
Practice address
7001 S Custer Rd Ste 200
McKinney, TX 75070-3001
Phone
(214) 385-4460
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 25118 TX Primary

Addresses

Primary practice location

7001 S Custer Rd Ste 200
McKinney, TX 75070-3001

Mailing address

609 Crystal Falls Dr
McKinney, TX 75071-3716
Phone (469) 358-4366

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
25118TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Experience Dental PLLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

7001 S Custer Rd
Ste 200
McKinney, TX 75070
Phone (201) 214-9998

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1295465276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CRYSTAL FALLS DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713716",
            "telephone_number": "469-358-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 S CUSTER RD STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703001",
            "telephone_number": "214-385-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KILEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "25118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.