Richard Tierney Dauphine, M.D.,FACS

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G 22565 Issued in CA

Practice address

980 Cass St
Monterey, CA 93940-4548

Phone

(831) 375-2489

Fax

(831) 375-5824

NPI assigned

Oct 7, 2005

Last updated

Aug 12, 2013By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Richard T. Dauphine, MD, Inc.

  • Orthopaedic Surgery Physician
  • Monterey, CA
  • NPI 1174779276
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1467440115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404548",
            "telephone_number": "831-375-2489",
            "fax_number": "831-375-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404548",
            "telephone_number": "831-375-2489",
            "fax_number": "831-375-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHINE",
        "first_name": "RICHARD",
        "middle_name": "TIERNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.,FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G 22565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NO.",
            "identifier": "G 22565",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG PRESCRIBING NUMBER",
            "identifier": "BBND AD 7010919",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CORPORATION",
            "identifier": "EIN 94-2497419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.