Active NPI
John James Richter III, D.D.S.
- Public Health Dentistry
- Isleta, NM
National Provider Identifier
1831169986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DD1961
- Practice address
- 1 Sagebrush St
Isleta, NM 87022 - Phone
- (505) 869-4499
- NPI assigned
- Jan 23, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DD1961 | NM | Primary |
Addresses
Primary practice location
1 Sagebrush St
Isleta, NM 87022
Mailing address
1800 Valdez Dr NE
Albuquerque, NM 87112-4827
Phone (505) 291-9605
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160219001479 | TX | Order and Referring Only - Dentist | 4385949932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD1961 | NM | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831169986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 VALDEZ DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871124827",
"telephone_number": "505-291-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAGEBRUSH ST",
"city": "ISLETA",
"state": "NM",
"postal_code": "87022",
"telephone_number": "505-869-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "JOHN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NM",
"license": "DD1961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isleta, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.