Active NPI
Dana Phillip Richard, D.O.
- Family Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1528041068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS5435
- Practice address
- 2500 Metrocentre Blvd
Suite 7
West Palm Beach, FL 33407-3107 - Phone
- (561) 434-5678
- Fax
- (561) 964-9829
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS5435 | FL | Primary |
Addresses
Primary practice location
2500 Metrocentre Blvd
Suite 7
West Palm Beach, FL 33407-3107
Mailing address
309 E Ocean Ave Apt 103
Lantana, FL 33462-3265
Phone (561) 434-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80230 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Wellness Center LLC | Past | Accepting new patients | |
| Treasure Coast Physical Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Stuart, FL
- NPI 1205271699
-
- Chiropractor
- Stuart, FL
- NPI 1811226236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1528041068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E OCEAN AVE APT 103",
"city": "LANTANA",
"state": "FL",
"postal_code": "334623265",
"telephone_number": "561-434-5678",
"fax_number": "786-221-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 METROCENTRE BLVD",
"address_2": "SUITE 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073107",
"telephone_number": "561-434-5678",
"fax_number": "561-964-9829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "DANA",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS5435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80230",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.