NPIMap

Organization Active NPI

Richardson DMD, Inc.

  • Dental Clinic/Center
  • Homer, AK
National Provider Identifier
1396296620
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1039387 Issued in AK
Legal business name
RICHARDSON DMD, INC.
Practice address
412 E Pioneer Ave
Suite #2
Homer, AK 99603-7621
Phone
(907) 226-2218
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. William Richardson, DMDNPI 1295793743
Title
President
Phone
(907) 229-5778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1039387 AK Primary

Addresses

Primary practice location

412 E Pioneer Ave
Suite #2
Homer, AK 99603-7621

Mailing address

412 E Pioneer Ave
Suite #2
Homer, AK 99603-7621
Phone (907) 226-2218

National Provider Directory

National Provider Directory

Locations

412 E Pioneer Ave
Ste 2
Homer, AK 99603
Phone (907) 226-2218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1396296620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E PIONEER AVE",
            "address_2": "SUITE #2",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037621",
            "telephone_number": "907-226-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E PIONEER AVE",
            "address_2": "SUITE #2",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037621",
            "telephone_number": "907-226-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-229-5778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1039387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.