Active NPI
Richard Steven Frederick, DMD
- General Practice Dentistry
- Gadsden, AL
National Provider Identifier
1306824073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3499
- Practice address
- 819 Riverbend Dr
Suite B
Gadsden, AL 35901-2556 - Phone
- (256) 546-9214
- Fax
- (256) 546-0564
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3499 | AL | Primary |
Addresses
Primary practice location
819 Riverbend Dr
Suite B
Gadsden, AL 35901-2556
Mailing address
819 Riverbend Dr
Suite B
Gadsden, AL 35901-2556
Phone (256) 546-9214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92286 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150630003111 | AL | Order and Referring Only - Oral Surgery | 9032421235 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306824073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 RIVERBEND DR",
"address_2": "SUITE B",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359012556",
"telephone_number": "256-546-9214",
"fax_number": "256-546-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 RIVERBEND DR",
"address_2": "SUITE B",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359012556",
"telephone_number": "256-546-9214",
"fax_number": "256-546-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "RICHARD",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "3499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "92286",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
- Laura J Foster
- Four Vision Optical (Pearle Vision)
- Shon Frachiseur, P.T.
- Shaday Franklin
- Matthew S Frasier, CRNA
- Sarah Lindsay Prophet Frederick, M.D.
- Josie Deniene Free
- Fresenius Kidney Care Gadsden Acq, LLC (Fresenius Kidney Care Gadsden)
- Fresenius Medical Care Coosa River, LLC (Fresenius Kidney Care Coosa River)
- Howard Marc Friedman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.