Bradley M Richens

Primary specialty

DentistTaxonomy code 122300000X

License

Q07-01160-4-095331 Issued in NV

Practice address

8954 Spanish Ridge Ave Ste 3
Las Vegas, NV 89148-1353

Phone

(702) 433-1889

Fax

(702) 364-0022

NPI assigned

Jul 28, 2006

Last updated

Jan 11, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smilemore Utah

  dba Family Select Dental Care

  • Dentist
  • St George, UT
  • NPI 1558669127
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1437163078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 SPANISH RIDGE AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481353",
            "telephone_number": "702-433-1889",
            "fax_number": "702-364-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 SPANISH RIDGE AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481353",
            "telephone_number": "702-433-1889",
            "fax_number": "702-364-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHENS",
        "first_name": "BRADLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "Q07-01160-4-095331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent T Richardson, M.D.
• Twynisha Lashawn Richardson
• William Derek Richardson
• Zionisha Nicole Richardson
• Antoinette Toy Richbow
• Cecl Richey
• Kenya Cheyenne Richey
• Keyowana Miesha Richey
• Lisa Richie
• Yolanda Richie

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.