Individual provider Active NPI

Richard L Dennis, DMD

  • General Practice Dentistry
  • Saratoga Springs, NY
National Provider Identifier
1467654178
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052845 Issued in NY
Practice address
28 Clinton St
Saratoga Springs, NY 12866-2143
Phone
(518) 935-0068
Fax
(518) 301-5116
NPI assigned
Jun 4, 2007
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 052845 NY Primary

Addresses

Primary practice location

28 Clinton St
Saratoga Springs, NY 12866-2143

Mailing address

28 Clinton St
Saratoga Springs, NY 12866-2143
Phone (518) 935-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260317002172 NY Practitioner - Dentist 6406339571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Case Western University School of Dental Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16502 8TH Ave E
Spanaway, WA 98387-7028

6 Carpenter LN
Suite 1
Saratoga Springs, NY 12866-5521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052845NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Dennis DMD PC General Practice CurrentSince Mar 10, 2026 Accepting new patients

Locations

6 Carpenter Ln
#1
Saratoga Springs, NY 12866
Phone (518) 584-5060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1467654178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662143",
            "telephone_number": "518-935-0068",
            "fax_number": "518-306-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662143",
            "telephone_number": "518-935-0068",
            "fax_number": "518-301-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.