Anna Moore Richardson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401415150 Issued in VA

Practice address

4909 Grove Ave
Richmond, VA 23226-1649

Phone

(804) 355-3100

NPI assigned

Mar 20, 2015

Sex

Female

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

Enrolled in VA

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

State licenses

Practice roles

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.

• Pda Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hoover, AL
  • NPI 1942855176
  NPD (past)

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1306230016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261649",
            "telephone_number": "804-355-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261649",
            "telephone_number": "804-355-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "Box 800740",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-7714",
            "fax_number": "434-243-6378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Southlake Park Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352443615",
            "country_code": "US",
            "telephone_number": "205-453-0314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Chelsea Corners Way",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "AL",
            "postal_code": "350438208",
            "country_code": "US",
            "telephone_number": "204-678-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ANNA",
        "middle_name": "MOORE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah C Richards, LISW-S
• Sheila Richards, CNA
• Richardson Community Services LLC
• Richardson Community Services LLC
• John Austni Richardson-Lauve, LCSW
• Autumn Benson Richardson, LCSW
• Barbara Cheron Richardson
• Cheryl Yvonne Richardson, LPN
• Christopher Ronald Richardson, DMD
• Jaquetta Devona Richardson, QMHP-A

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.