Michael Wayne Richard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6178 Issued in KS

Practice address

2702 Campus Dr
Garden City, KS 67846-3670

Phone

(620) 271-7474

Fax

(620) 275-1190

NPI assigned

Jun 9, 2006

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

Enrolled in KS

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

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.

• Advanced Specialty Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawrence, KS
  • NPI 1821194978
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1811938004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 CAMPUS DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463670",
            "telephone_number": "620-271-7474",
            "fax_number": "620-275-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 CAMPUS DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463670",
            "telephone_number": "620-271-7474",
            "fax_number": "620-275-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rescare Kansas, Inc.
• Elizabeth Reta
• Revere Healthcare Solutions, Inc
• Revive Counseling Services, LLC
• Sindy B Reyes
• Jill Christine Richardson
• Katelin Richardson
• Misty Marie Richters
• Joanne Dorothy Rink, MD
• Alexia Rivera

• General Practice Dentistry in Garden City, KS
• Providers in Garden City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.