Keturah A Richardson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40093 Issued in TX

Practice address

602 Hickory St
Abilene, TX 79601-5044

Phone

(325) 200-0925

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1760011985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015044",
            "telephone_number": "325-200-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015044",
            "telephone_number": "325-200-0925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 Old Hickory Blvd Apt 2112",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372096105",
            "country_code": "US",
            "telephone_number": "214-728-1518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KETURAH",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Reinmund, M.D.,P.a.
• Richard Rothwell, M.D., PA
• Justin Wilson Richards
• Amy Richardson, M.ED., LPC
• Ciara Jade Richardson
• Kristen Evans Richardson, LPC
• Shannon Richardson, FNP-C
• H. Miller Richert II, M.D.
• Timothy A. Richey, CRNA
• Robert William Ricketts, LPC, BCBA

• Dentist in Abilene, TX
• Providers in Abilene, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.