Active NPI
Richard Jonathan Long, DDS
- General Practice Dentistry
- St Thomas, VI
National Provider Identifier
1497252233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3087
- Practice address
- 9151 Estate Thomas Ste 203
St Thomas, VI 00802-2716 - Phone
- (804) 726-0962
- NPI assigned
- Apr 9, 2018
- Last updated
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401416395 | VA | |
| General Practice Dentistry | 1223G0001X | 3087 | VI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
9151 Estate Thomas Ste 203
St Thomas, VI 00802-2716
Mailing address
8316 Old Cavalry Dr
Mechanicsville, VA 23111-4534
Phone (804) 726-0962
Other practice location 1
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000
Other practice location 2
7511 New Hampshire Ave
Takoma Park, MD 20912-6969
Phone (301) 431-6883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416395 | VA | MD | Dentist |
| 3087 | VI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confident Smiles, LLC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Takoma Park, MD
- NPI 1265804306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1497252233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 OLD CAVALRY DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231114534",
"telephone_number": "804-726-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9151 ESTATE THOMAS STE 203",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008022716",
"telephone_number": "804-726-0962"
}
],
"practiceLocations": [
{
"address_1": "201 Lyons Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122027",
"country_code": "US",
"telephone_number": "973-926-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7511 New Hampshire Ave",
"address_purpose": "LOCATION",
"city": "Takoma Park",
"state": "MD",
"postal_code": "209126969",
"country_code": "US",
"telephone_number": "301-431-6883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "RICHARD",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-09",
"last_updated": "2021-04-06",
"certification_date": "2020-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416395",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VI",
"license": "3087",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.