Richard Franklin Caudill, DMD
Individual provider Active NPI Dentist · Tequesta, FL
NPI 1508931585 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508931585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN6312 (FL)
- Practice address
- 395 C Tequesta Drive
Tequesta, FL 33469-3086 - Phone
- (561) 743-7286
- Fax
- (561) 743-7886
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 9, 2015 through Dec 9, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN6312 | FL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN6312 | FL | Yes |
Addresses
Primary practice location
395 C Tequesta Drive
Tequesta, FL 33469-3086
Mailing address
395 C Tequesta Drive
Tequesta, FL 33469-3086
Phone (561) 743-7286
Other names
- Richard Caudill
Other providers in Tequesta, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.