Steven D. Richardson D.M.D. L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4865 Issued in OR

Legal business name

STEVEN D. RICHARDSON D.M.D. L.L.C

Practice address

1835 Ocean Blvd SE
Coos Bay, OR 97420

Phone

(541) 269-0620

Fax

(541) 269-9243

NPI assigned

Feb 3, 2014

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven D. Richardson, D.M.D.NPI 1669575882

Title

Dentist

Phone

(541) 269-0620

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven D Richardson, DMD

  • General Practice Dentistry
  • Coos Bay, OR
  • NPI 1669575882
  NPD (past) Authorized official

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1346663895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 OCEAN BLVD S.E.",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-269-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 OCEAN BLVD SE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-269-0620",
            "fax_number": "541-269-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. RICHARDSON D.M.D. L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-269-0620",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "4865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie St. Clair, MSW
• Shaneen Diane Stacer, PHD
• Starting Line Physical Therapy
• Jesse C Staubach
• Elizabeth Rose Stephens
• Jacob Ryan Stewart, PSS
• Lary Parker Stieglitz, M.D.
• William Todd Stone, CRM
• Jacob Ryan Stradling, PMHNP
• Sarah Marie Strawn, D.O.

• General Practice Dentistry in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.