Individual provider Active NPI

Richard Leon Lepard Jr., DDS

  • General Practice Dentistry
  • Rockwall, TX
National Provider Identifier
1790814994
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11505 Issued in TX
Practice address
3023 E Interstate 30
Suite 9
Rockwall, TX 75087-9707
Phone
(214) 771-3130
NPI assigned
Mar 5, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11505 TX Primary

Addresses

Primary practice location

3023 E Interstate 30
Suite 9
Rockwall, TX 75087-9707

Mailing address

400 Endeavor CT
Rockwall, TX 75032-5772
Phone (972) 772-5528

Other identifiers 1

IdentifierTypeStateIssuer
11505OtherTXTX LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11505TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L. Lepard DDS, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790814994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ENDEAVOR CT",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325772",
            "telephone_number": "972-772-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 E INTERSTATE 30",
            "address_2": "SUITE 9",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750879707",
            "telephone_number": "214-771-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPARD",
        "first_name": "RICHARD",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "11505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.