Individual provider Active NPI

Charles Cook Richter Jr., DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1801019542
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13019 Issued in TX
Practice address
405 N St Marys
Suite # 130
San Antonio, TX 78205-1747
Phone
(210) 222-8260
Fax
(210) 222-2461
NPI assigned
Apr 11, 2007
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
Dentist 122300000X 13019 TX Primary

Addresses

Primary practice location

405 N St Marys
Suite # 130
San Antonio, TX 78205-1747

Mailing address

405 N St Marys
Suite # 130
San Antonio, TX 78205-1747
Phone (210) 222-8260

Other identifiers 1

IdentifierTypeStateIssuer
K0057007OtherTXDPS

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
13019TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801019542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N ST MARYS",
            "address_2": "SUITE # 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051747",
            "telephone_number": "210-222-8260",
            "fax_number": "210-222-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N ST MARYS",
            "address_2": "SUITE # 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051747",
            "telephone_number": "210-222-8260",
            "fax_number": "210-222-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "CHARLES",
        "middle_name": "COOK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "13019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "K0057007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, 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.