Richard Henry Esham II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6036 Issued in AL

Practice address

108 Professional Park Dr
Fairhope, AL 36532-1922

Phone

(251) 928-0620

NPI assigned

Sep 11, 2013

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment NPD
• Fairhope Dental Associates LLC

  • General Practice Dentistry
  • Fairhope, AL
  • NPI 1043231293
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1801221601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PROFESSIONAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321922",
            "telephone_number": "251-928-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PROFESSIONAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321922",
            "telephone_number": "251-928-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHAM",
        "first_name": "RICHARD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168390",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer English, CCC-SLP
• Cecil Lawrence Ennis, M.D.
• Epiphany Women's Health (Epiphany Women's Health, PLLC)
• Katie S Erdlitz, CRNP
• Christine N Erickson
• Espt Fairhope LLC (Eastern Shore Physical Therapy)
• Jessica Etheredge, M.S., BCBA
• Aniekeme Saturday Etuk, MD
• David J. Eurgil II, CRNA
• Leslie Logan Evans, MD

• General Practice Dentistry in Fairhope, AL
• Providers in Fairhope, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.