Alan Jeffrey Richter, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6112 Issued in FL

Practice address

618 Atlantic Shores Blvd
Hallandale Beach, FL 33009-2507

Phone

(954) 456-7900

Fax

(954) 362-2404

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407074396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 ATLANTIC SHORES BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092507",
            "telephone_number": "954-456-7900",
            "fax_number": "954-362-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 ATLANTIC SHORES BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092507",
            "telephone_number": "954-456-7900",
            "fax_number": "954-362-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "ALAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niloufar Rezakhani, DMD
• Eric Y Reznik, PSY.D.
• Rheumatology & Wellness Holding, PLLC
• Rachelle Rhodes, PT, DPT, ATC
• Laverne Richard
• Richard J Rimler, DPM
• Boris Ripa, M.D.
• Rismont Smile Dental Center LLC
• Rismont Smile Dental Center LLC
• Nicomedes Rivera, DPT

• General Practice Dentistry in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.