Donnie Joe Richardson Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3463-08 Issued in MS

Practice address

516A Lincoln Rd
Columbus, MS 39705-2226

Phone

(662) 328-8001

Fax

(888) 852-8644

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1699956565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516A LINCOLN RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052226",
            "telephone_number": "662-328-8001",
            "fax_number": "888-852-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516A LINCOLN RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052226",
            "telephone_number": "662-328-8001",
            "fax_number": "888-852-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DONNIE",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3463-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02150825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Scott Reynolds, OT
• Kaleigh Reynolds
• Charles S. Rhea Jr., MD
• Cali Spell Rhett, DDS
• Richardson Dental and Associates
• Jalesa J Richardson
• Kelly Richardson, FNP-C
• Edward Riley, MD
• Ashlee Robbins, FNP-BC
• Lee Douglass Roberson, M.D.

• General Practice Dentistry in Columbus, MS
• Providers in Columbus, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.