Andrew Keith Richards, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-5045 Issued in ID

Practice address

1411 Falls Ave E Ste 1000C
Twin Falls, ID 83301

Phone

(208) 734-7415

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1740643303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 HIGHLAWN DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018415",
            "telephone_number": "928-322-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 1000C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-7415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Pheasant Run Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142281841",
            "country_code": "US",
            "telephone_number": "928-322-3137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Falls Ave E Ste 1000C",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "83301",
            "country_code": "US",
            "telephone_number": "208-734-7415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ANDREW",
        "middle_name": "KEITH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-5045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Anne Reynolds, M.S., CCC-SLP
• Merrick Gordon Reynolds, PA
• Brian Rhodes
• Lynn Roselle Rice, LCSW
• Richard W Worst MD PA
• Kelson Richards, DPT
• Skyler Richards
• Andrew George Richardson, PT, DPT
• Carrie Alicia Richins, HSW
• Nicole Rietkerk

• Pediatric Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.