Ryan Thomas Richardson, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60655115 Issued in WA

Practice address

2205 W Lincoln Ave
Yakima Valley Farm Workers Clinic
Yakima, WA 98902-2437

Phone

(509) 469-6305

NPI assigned

Jun 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lincoln County Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Troy, MT
  • NPI 1417243213
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1619381472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N KEYS RD",
            "address_2": "YAKIMA VALLEY FARM WORKERS CLINIC",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011172",
            "telephone_number": "509-865-2395",
            "fax_number": "509-865-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W LINCOLN AVE",
            "address_2": "YAKIMA VALLEY FARM WORKERS CLINIC",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022437",
            "telephone_number": "509-469-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60655115",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60655115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H Hopp
• Lisa Ann Richards
• Samuel Allard Richards, PA-C
• Steven C Richards, MD
• Hilary Richardson, PHD
• Terry Richey
• Daniel Richmond
• Tammy Richmond
• Sandra Ricking, PTA
• Julianne E Rictor, LP00057089

• Pediatric Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.