Individual provider Active NPI

Lester Albert Richins, DMD

  • General Practice Dentistry
  • Meridian, ID
National Provider Identifier
1831107945
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3186 Issued in ID
Practice address
100 W Overland Rd Ste a
Meridian, ID 83642-3052
Phone
(208) 884-0888
Fax
(208) 895-8533
NPI assigned
Aug 4, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D3186 ID Primary

Addresses

Primary practice location

100 W Overland Rd Ste a
Meridian, ID 83642-3052

Mailing address

100 W Overland Rd Ste a
Meridian, ID 83642-3052
Phone (208) 884-0888

Other identifiers 1

IdentifierTypeStateIssuer
6F126OtherIDBLUE CROSS OF IDAHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20151222002514 ID Order and Referring Only - DentistPractitioner - Dentist 6507167285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831107945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W OVERLAND RD STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423052",
            "telephone_number": "208-884-0888",
            "fax_number": "208-895-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W OVERLAND RD STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423052",
            "telephone_number": "208-884-0888",
            "fax_number": "208-895-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHINS",
        "first_name": "LESTER",
        "middle_name": "ALBERT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "6F126",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.