Active NPI
Richard E Sipes, DDS
- Dentist
- Athens, AL
National Provider Identifier
1306937636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.6853-C
- Practice address
- 310 W Elm St
Athens, AL 35611-4802 - Phone
- (256) 262-0200
- NPI assigned
- Sep 28, 2006
- Last updated
- Jan 5, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D.6853-C | AL | Primary |
Addresses
Primary practice location
310 W Elm St
Athens, AL 35611-4802
Mailing address
130 Dogwood Ridge Dr
New Market, AL 35761-7690
Phone (360) 904-4713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20150528001985 | WA | Order and Referring Only - Dentist | 5496075699 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.6853-C | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vancouver Center for General and Cosmetic Dentistry | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba New Leaf Dental Care
- Dentist
- Vancouver, WA
- NPI 1952571382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1306937636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 DOGWOOD RIDGE DR",
"city": "NEW MARKET",
"state": "AL",
"postal_code": "357617690",
"telephone_number": "360-904-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W ELM ST",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114802",
"telephone_number": "256-262-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPES",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.6853-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
- Katie Elizabeth Shipman, PT, DPT
- Shoals Infectious Disease Consultants LLC (St. Vincent Infectious Disease and Internal Medicine Center)
- Briley Neil Shrewsberry, PT, DPT
- Jalisa B Similton, MSW
- Adam Marc Simpson, PA
- Bradee Aiyer Sittason, DMD
- Anna Skipworth
- Heather Moon Small, O.D.
- April Smith, MA
- Jacob Connor Smith, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.