Richard Allen Hovda, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3774 Issued in WI

Practice address

519 N 17TH Ave
Wausau, WI 54401-2910

Phone

(715) 842-5459

Fax

(715) 848-1849

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristo, LTC

  dba Kristo Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wausau, WI
  • NPI 1265891501
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669690475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 HILLCREST DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019732",
            "telephone_number": "715-675-9419",
            "fax_number": "714-848-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012910",
            "telephone_number": "715-842-5459",
            "fax_number": "715-848-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVDA",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice Preferred Choice, Inc. (AseraCare Hospice)
• Hospitalist Medicine Physicians of Marathon County LTD
• Sarah Grim Hostetler, MD
• Todd L. Hostetler, M.D.
• Sarah Kathryn Houdek, APNP
• Jeanette Marie Howard, ABOC
• Thomas C Howard, M.D.
• Scott D Howells, MD
• Mark Allen Hower, D.D.S.
• Andrew Jonathan Huang, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Wausau, WI
• Providers in Wausau, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.