Individual provider Active NPI

Danielle Sarah Richman, DDS

  • Dentist
  • Beachwood, OH
National Provider Identifier
1407412257
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025749 Issued in OH
Practice address
3690 Orange PL Ste 540
Beachwood, OH 44122-4464
Phone
(216) 831-5661
Fax
(216) 831-5378
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025749 OH
Dentist 122300000X 30.025749 OH Primary

Addresses

Primary practice location

3690 Orange PL Ste 540
Beachwood, OH 44122-4464

Mailing address

1045 Chagrin River Rd
Gates Mills, OH 44040-9701
Phone (216) 533-6555

Other practice location 1

1727 Streetsboro Plz
Streetsboro, OH 44241-5635
Phone (216) 533-6555

Other identifiers 1

IdentifierTypeStateIssuer
1407412257OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@beachwooddental.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190816001406 OH Order and Referring Only - DentistPractitioner - Dentist 2668709437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025749OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Mikhli DDS Inc. PastSince Feb 7, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: info@beachwooddental.com

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1407412257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 CHAGRIN RIVER RD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409701",
            "telephone_number": "216-533-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 540",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-831-5661",
            "fax_number": "216-831-5378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Streetsboro Plz",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "442415635",
            "country_code": "US",
            "telephone_number": "216-533-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "DANIELLE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025749",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407412257",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@beachwooddental.com",
            "affiliation": "N",
            "address_1": "3690 Orange Pl Ste 540",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.