Active NPI
Richard D Long, MD INC
- Orthopaedic Surgery Physician
- Carson City, NV
National Provider Identifier
1821099094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2687
- Practice address
- 1000 N Division St
Ste 100
Carson City, NV 89703-3929 - Phone
- (775) 883-1544
- Fax
- (775) 883-1965
- NPI assigned
- Aug 9, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2687 | NV | Primary |
Addresses
Primary practice location
1000 N Division St
Ste 100
Carson City, NV 89703-3929
Mailing address
1000 N Division St
Ste 100
Carson City, NV 89703-3929
Phone (775) 883-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013261 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2687 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1821099094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N DIVISION ST",
"address_2": "STE 100",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033929",
"telephone_number": "775-883-1544",
"fax_number": "775-883-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N DIVISION ST",
"address_2": "STE 100",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033929",
"telephone_number": "775-883-1544",
"fax_number": "775-883-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "RICHARD",
"middle_name": "D",
"credential": "MD INC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2007-10-09",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "2687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013261",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.