Individual provider Active NPI

Larry J Richardson, DDS

  • General Practice Dentistry
  • Pittsburg, TX
National Provider Identifier
1689639098
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11849 Issued in TX
Practice address
108 Mt Pleasant
Pittsburg, TX 75686
Phone
(903) 856-6688
Fax
(903) 856-5192
NPI assigned
Apr 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11849 TX Primary

Addresses

Primary practice location

108 Mt Pleasant
Pittsburg, TX 75686

Mailing address

108 Mt Pleasant
Pittsburg, TX 75686
Phone (903) 856-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150514001245 TX Order and Referring Only - DentistPractitioner - Dentist 9638499635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11849TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689639098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MT PLEASANT",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "75686",
            "telephone_number": "903-856-6688",
            "fax_number": "903-856-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MT PLEASANT",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "75686",
            "telephone_number": "903-856-6688",
            "fax_number": "903-856-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LARRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, TX

Sources for this page

Verify at the official NPI Registry.