Active NPI
Nicole Marlene Richardson, DDS
- General Practice Dentistry
- Highland Village, TX
National Provider Identifier
1811197171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23258
- Practice address
- 1401 Shoal CRK
Suite 276
Highland Village, TX 75077-3323 - Phone
- (972) 317-1406
- Fax
- (888) 519-7081
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23258 | TX | Primary |
Addresses
Primary practice location
1401 Shoal CRK
Suite 276
Highland Village, TX 75077-3323
Mailing address
1401 Shoal CRK
Suite 276
Highland Village, TX 75077-3323
Phone (972) 317-1406
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23258 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1811197171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SHOAL CRK",
"address_2": "SUITE 276",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750773323",
"telephone_number": "972-317-1406",
"fax_number": "888-519-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SHOAL CRK",
"address_2": "SUITE 276",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750773323",
"telephone_number": "972-317-1406",
"fax_number": "888-519-7081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "NICOLE",
"middle_name": "MARLENE",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Village, TX
- Revive Med Partners I LLC
- Revive Med Partners, LLC (Revive Primary Care & Med Spa)
- Revive PCMS PLLC
- Krista Anne Rice, LPC
- Richard K Bartlett OD PA
- Stephen Charles Riner, D.C.
- Erik Rulon Robbins, DC
- Zoe Madison Romine
- RX Compound Pros LLC (RX Compound Pros)
- Ryan C Thomas, DDS, PLLC (Highland Village Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.