Richard Carlos Tatum Sr., D.D.S., M.P.H.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

4224 Issued in MD

Practice address

10630 Little Patuxent Pkwy
Suite 100
Columbia, MD 21044-3264

Phone

(410) 730-8330

Fax

(410) 992-4095

NPI assigned

Feb 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MRN, Inc.

  • General Practice Dentistry
  • Columbia, MD
  • NPI 1013306893
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750425294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "410-730-8330",
            "fax_number": "410-992-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "410-730-8330",
            "fax_number": "410-992-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "RICHARD",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MD",
            "license": "4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Tarectecan
• Iola Renee Tariq
• Margrette Peckeal Nkeng Tasily
• Joshua Tassler
• Barbara Martin Tatum, D.D.S.
• Katherine Taveras
• Betelhem Taye
• Alyssa Marion Taylor
• Amara Taylor
• Calyn Taylor

• Public Health Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• Public Health Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.