Richard Joseph Poupard, D.D.S.
Individual provider Active NPI Oral & Maxillofacial Surgery (D.M.D.) · Midland, MI
NPI 1699708248 · NPPES record last updated Oct 10, 2012
Key facts
- NPI
- 1699708248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
- License
- RP016402 (MI)
- Practice address
- 6112 Merlin CT
Midland, MI 48640-7358 - Phone
- (989) 839-9979
- Fax
- (989) 839-9553
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Maxillofacial Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6112 Merlin Court
Midland, MI 48640-7358
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP016402 | MI | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | RP016402 | MI | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | RP016402 | MI | Yes |
Addresses
Primary practice location
6112 Merlin CT
Midland, MI 48640-7358
Mailing address
6112 Merlin CT
Midland, MI 48640-7358
Phone (989) 839-9979
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3487124 | Medicaid | MI | |
| 3487133 | Medicaid | MI |
Other providers in Midland, MI
- Ammon Pontious
- Sarah Poppe
- Amarish P Potnis
- Atoreina Potrus
- Monika Potrykus
- Jennifer Powell
- Jennifer Anne Powell
- Trisha Powell
- Powerback Rehabilitation LLC
- Prac Holdings, Inc.
All providers in Midland, MI · Oral & Maxillofacial Surgery (D.M.D.) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.