Daniel Richardson, DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

OCC018144 Issued in GA

Practice address

1301 Shiloh Rd NW Ste B
Kennesaw, GA 30144-7147

Phone

(678) 618-3852

Fax

(678) 669-2399

NPI assigned

Nov 2, 2016

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.

• 1St Choice DME Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1598279655
  NPD

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1780136051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "678-618-3852",
            "fax_number": "678-669-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "678-618-3852",
            "fax_number": "678-669-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DANIEL",
        "credential": "DME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "OCC018144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Elizabeth Reynolds
• Tanya Michelle Rhoney, CCMA, SURGICAL TECH
• Sarah Rice, SLP009481
• Chad Richard
• Samantha R Richards, LCSW
• Kayla D Richardson, MD
• Linda F Richardson, LCSW
• Jana L. Rickard, AT-C
• Hanna-Marie Ricketts, RBT
• Isabella Zita Ricketts, M.D.

• Durable Medical Equipment & Medical Supplies in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.