Individual provider Active NPI

Richard John Prichard II, DDS

  • Pediatric Dentistry
  • Soddy Daisy, TN
National Provider Identifier
1578554085
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS4212 Issued in TN
Practice address
10480 Walden St
Soddy Daisy, TN 37379-5441
Phone
(423) 332-5544
Fax
(423) 332-1228
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS4212 TN Primary

Addresses

Primary practice location

10480 Walden St
Soddy Daisy, TN 37379-5441

Mailing address

10480 Walden St
Soddy Daisy, TN 37379-5441
Phone (423) 332-5544

Other identifiers 1

IdentifierTypeStateIssuer
3202494MedicaidTN

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

LicenseStateTypeSpecialty
DS4212TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Sease DMD PLCC Pediatric Dentistry PastSince Jul 16, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578554085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10480 WALDEN ST",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795441",
            "telephone_number": "423-332-5544",
            "fax_number": "423-332-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10480 WALDEN ST",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795441",
            "telephone_number": "423-332-5544",
            "fax_number": "423-332-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS4212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202494",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soddy Daisy, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.