Richard F. Fossum DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

19639 Issued in TX

Legal business name

RICHARD F. FOSSUM DDS, PA

Practice address

2534 Blue Meadow Dr
Temple, TX 76502-7924

Phone

(254) 778-3900

NPI assigned

Mar 20, 2009

Organization subpart

No

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

Authorized official

Name

Steve Vargo

Title

Office Manager

Phone

(254) 778-3900

Specialties & licenses 1

Addresses

Practitioners 2

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

• Brooke Zane Loftis Elmore, DDS

  • General Practice Dentistry
  • Waxahachie, TX
  • NPI 1093971848
  NPD (past)
• Richard F Fossum, D.D.S.

  • General Practice Dentistry
  • Temple, TX
  • NPI 1265451660
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1417198409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 BLUE MEADOW DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027924",
            "telephone_number": "254-778-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 BLUE MEADOW DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027924",
            "telephone_number": "254-778-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F. FOSSUM DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "VARGO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-778-3900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Rhodes
• R. Stephen Rhodes
• Emily Nicole Rhoton
• Maryam Riaz, DO
• Marcelo Dassow Ribeiro, M.D.
• Richard Leung DDS PLLC
• Shirley R Richards, DO
• Andrew Gilbert Richardson
• Christie Giebler Richter, NP-C
• Rick L. Anthony

• Dentist in Temple, TX
• Providers in Temple, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.