Individual provider Active NPI

Michael Christopher Richer, DDS

  • General Practice Dentistry
  • Hicksville, NY
National Provider Identifier
1376700625
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052238 Issued in NY
Practice address
754 S Broadway
Hicksville, NY 11801-5017
Phone
(917) 569-1947
Fax
(516) 495-4125
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052238 NY
General Practice Dentistry 1223G0001X 052238 NY Primary

Addresses

Primary practice location

754 S Broadway
Hicksville, NY 11801-5017

Mailing address

754 S Broadway
Hicksville, NY 11801-5017
Phone (516) 342-9866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
052238NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richer and Rivera Dental, LLP Single Specialty CurrentSince Oct 20, 2024 Accepting new patients

Locations

754 S Broadway
Hicksville, NY 11801
Phone (516) 342-9866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1376700625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015017",
            "telephone_number": "516-342-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015017",
            "telephone_number": "917-569-1947",
            "fax_number": "516-495-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHER",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052238",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.