Individual provider Active NPI

Dallas L Richards, M.D.

  • Internal Medicine Physician
  • Hays, KS
National Provider Identifier
1487645420
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-16850 Issued in KS
Practice address
600 Park St.
Ll045Mu
Hays, KS 67601-4009
Phone
(785) 628-4678
Fax
(785) 628-4089
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-16850 KS Primary

Addresses

Primary practice location

600 Park St.
Ll045Mu
Hays, KS 67601-4009

Mailing address

600 Park St.
Ll045Mu
Hays, KS 67601-4009
Phone (785) 628-4678

Other identifiers 1

IdentifierTypeStateIssuer
100082500-AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000279 KS Practitioner - Internal Medicine 7416903026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-16850KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Hays State University Internal Medicine CurrentSince Jun 11, 2012 Accepting new patients
Fort Hays State University Current Accepting new patients
Fort Hays State University CurrentSince Jun 11, 2012 Accepting new patients
Kansas Nephrology Physicians PA Past Accepting new patients

Locations

600 Park St
Ste 131
Hays, KS 67601
Phone (785) 628-5366

600 Park St
Hays, KS 67601
Phone (785) 628-4293

600 Park St
#45
Hays, KS 67601
Phone (785) 628-4293

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1487645420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK ST.",
            "address_2": "LL045MU",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014009",
            "telephone_number": "785-628-4678",
            "fax_number": "785-628-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK ST.",
            "address_2": "LL045MU",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014009",
            "telephone_number": "785-628-4678",
            "fax_number": "785-628-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "DALLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-16850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082500-A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.