Richard Pallen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.016837 Issued in OH

Practice address

3443 Medina Rd
Medina, OH 44256-5965

Phone

(330) 722-7060

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1720056724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565965",
            "telephone_number": "330-722-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565965",
            "telephone_number": "330-722-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLEN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.016837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly A Oxford, LMT
• Angelo J. Pagani, PA-C
• Veronica Marie Painter, CNP
• Pajevic Chiropractic and Natural Health LLC
• Brian Pajevic, DC
• George J Pallotta, DO
• Jena Christine Palmer
• Johanna M Palmer
• Aaron Tyler Palmeri, OD
• Ann Catherine Pamer, PT

• General Practice Dentistry in Medina, OH
• Providers in Medina, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.