Joe Ed Richter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009263A Issued in IN

Practice address

832 Manchester Ave
Wabash, IN 46992-1422

Phone

(260) 563-6332

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649287822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921422",
            "telephone_number": "260-563-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921422",
            "telephone_number": "260-563-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "JOE",
        "middle_name": "ED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009263A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reins and Rainbows
• Emmanuel Requena Sr.
• Kimberly M Richard, FNP
• Tonia Sue Richards
• Katherine Elizabeth Richardson, MA, LMHC
• Aaron Jay Riggars
• Matthew Richard Riggle, MA, LMHC
• Tracey Riggle, MSW
• Robert B. Beckett, Jr., D.D.S., P.C.
• Robert Mattern DDS

• General Practice Dentistry in Wabash, IN
• Providers in Wabash, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.