Individual provider Active NPI

Corinthia Wilkerson Richardson, DDS

  • Dentist
  • Kenner, LA
National Provider Identifier
1669146593
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7599 Issued in LA
Practice address
2400 Veterans Memorial Blvd Ste 210
Kenner, LA 70062-8723
Phone
(504) 833-3200
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7599 LA Primary

Addresses

Primary practice location

2400 Veterans Memorial Blvd Ste 210
Kenner, LA 70062-8723

Mailing address

2400 Veterans Memorial Blvd Ste 210
Kenner, LA 70062-8723
Phone (504) 833-3200

Other names 1

  • Corinthia R Wilkerson Former name

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
7599LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Regine Dyer DDS,LLC & Matthew Henson DDS, LLC PastSince Jan 17, 2021 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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1669146593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 VETERANS MEMORIAL BLVD STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700628723",
            "telephone_number": "504-833-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 VETERANS MEMORIAL BLVD STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700628723",
            "telephone_number": "504-833-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CORINTHIA",
        "middle_name": "WILKERSON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINTHIA",
            "last_name": "WILKERSON",
            "middle_name": "R",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.