Jaclyn Richardson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7386 Issued in NV

Practice address

45 E Silverado Ranch Blvd Ste 100
Las Vegas, NV 89183-3480

Phone

(702) 425-6810

NPI assigned

Jul 14, 2020

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Karimzada Silverado Ranch Dentistry, PC

  • Dentist
  • Las Vegas, NV
  • NPI 1720643067
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1518585785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E SILVERADO RANCH BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E SILVERADO RANCH BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833480",
            "telephone_number": "702-425-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezikel Richardson
• Freddie Richardson
• Freddie Richardson
• Gary Dean Richardson, DDS
• Gerald Charles Richardson
• Janice Richardson
• Jordan Richardson, DMD
• Kehaulani Richardson, RBT
• Kimberly M Richardson
• Kristi Richardson

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.