Active NPI
John M. Richards, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Myers, FL
National Provider Identifier
1669737086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0012392
- Practice address
- 6300 Whiskey Creek Dr
Fort Myers, FL 33919-8710 - Phone
- (239) 936-1808
- Fax
- (239) 936-1457
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0012392 | FL | Primary |
Addresses
Primary practice location
6300 Whiskey Creek Dr
Fort Myers, FL 33919-8710
Mailing address
6300 Whiskey Creek Dr
Fort Myers, FL 33919-8710
Phone (239) 936-1808
Other practice location 1
14 Del Prado Blvd N Ste 202
Cape Coral, FL 33909-2797
Phone (239) 458-2002
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012392 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1669737086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 WHISKEY CREEK DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339198710",
"telephone_number": "239-936-1808",
"fax_number": "239-936-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 WHISKEY CREEK DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339198710",
"telephone_number": "239-936-1808",
"fax_number": "239-936-1457"
}
],
"practiceLocations": [
{
"address_1": "14 Del Prado Blvd N Ste 202",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339092797",
"country_code": "US",
"telephone_number": "239-458-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDS",
"first_name": "JOHN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "0012392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.