Richard a. de Santis, PH.D., M.D., P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D40938 Issued in MD

Legal business name

RICHARD A. DE SANTIS, PH.D., M.D., P.C.

Practice address

715 S Shamrock Rd
Bel Air, MD 21014-4457

Phone

(410) 838-5208

Fax

(410) 838-6129

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard Anthony De Santis, M.D.

Title

President

Phone

(410) 838-5208

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1447560834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S SHAMROCK RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144457",
            "telephone_number": "410-838-5208",
            "fax_number": "410-838-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S SHAMROCK RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144457",
            "telephone_number": "410-838-5208",
            "fax_number": "410-838-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. DE SANTIS, PH.D., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "DE SANTIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-838-5208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D40938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698491600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revolution Wellness and Physical Therapy LLC
• Daniel Reynolds, DO
• Gary Reznik, D.D.S.
• Jenna Rice
• Jocelyn Hochman Rich
• Wendy Richard, R.N.
• Deanna Richards, MS
• Joseph Francis Richardson, PA-C
• Peter Ridolfi, RPH
• Shannon Rinker, LMSW

• Medical Specialty Clinic/Center in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.