Individual provider Active NPI

Philip S Richards, DDS

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1700910908
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901013807 Issued in MI
Practice address
406 N Ashley St
Ann Arbor, MI 48103-3308
Phone
(734) 998-9640
Fax
(734) 998-9647
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901013807 MI Primary
Periodontics 1223P0300X 2901013807 MI

Addresses

Primary practice location

406 N Ashley St
Ann Arbor, MI 48103-3308

Mailing address

406 N Ashley St
Ann Arbor, MI 48103-3308
Phone (734) 998-9640

Other identifiers 2

IdentifierTypeStateIssuer
D138070OtherMIBCBS OF MI DENTAL
1951360120OtherMIBCBS OF MI MED SURGICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150728003357 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911211578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901013807MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Mi Community Dental Center Dentist Past Accepting new patients
Regents of the University of Michigan Dental Faculty Associates Dentist PastSince Jul 1, 2017 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1700910908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N ASHLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033308",
            "telephone_number": "734-998-9640",
            "fax_number": "734-998-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N ASHLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033308",
            "telephone_number": "734-998-9640",
            "fax_number": "734-998-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "PHILIP",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013807",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901013807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI DENTAL",
            "identifier": "D138070",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI MED SURGICAL",
            "identifier": "1951360120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.