Richard L Giddon, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

034466 Issued in NY

Practice address

4 Metro Tech Center
Lobby
Brooklyn, NY 11201

Phone

(718) 403-0700

Fax

(718) 403-0441

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Downtown BK Dental PLLC

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1770049298
  NPD Authorized official

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1295796779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 METRO TECH CENTER",
            "address_2": "LOBBY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-403-0700",
            "fax_number": "718-403-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 METRO TECH CENTER",
            "address_2": "LOBBY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-403-0700",
            "fax_number": "718-403-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDON",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "034466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00423890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yael Gichtin
• Timothy Wanyoike Gichuru, M.D.
• Ben Moshe Gidalowitz
• Linda Giddings-Henry
• Derek Giddon, D.D.S.
• Emma Renea Gidley, OTR
• Lola Gieber
• Samantha Giedris
• Edmund Giegerich, MD
• Marta Maria Gielarowiec, AUD

• Endodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.