NPIMap

Organization Active NPI

Richard Verderame, DDS, Ms

  • Periodontics
  • Rio Rancho, NM
National Provider Identifier
1366415325
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DD1612 Issued in NM
Legal business name
RICHARD VERDERAME, DDS, MS
Practice address
4111 Barbara Loop SE
Suite E-2
Rio Rancho, NM 87124-1068
Phone
(505) 891-3000
NPI assigned
Feb 9, 2006
Last updated
Nov 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Richard Verderame, D.D..S, M.S.NPI 1487627618
Title
Owner
Phone
(505) 891-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DD1612 NM Primary

Addresses

Primary practice location

4111 Barbara Loop SE
Suite E-2
Rio Rancho, NM 87124-1068

Mailing address

4111 Barbara Loop SE
Suite E-2
Rio Rancho, NM 87124-1068
Phone (505) 891-3000

Other names 1

  • Richard Verderame, DDS, MS Other name

National Provider Directory

National Provider Directory

Locations

4111 Barbara Loop SE
Ste E2
Rio Rancho, NM 87124
Phone (505) 208-0505

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1366415325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE",
            "address_2": "SUITE E-2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-891-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE",
            "address_2": "SUITE E-2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-891-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD VERDERAME, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "VERDERAME",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-891-3000",
        "authorized_official_credential": "D.D..S, M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NM",
            "license": "DD1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Verderame, DDS, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.