Individual provider Active NPI

Richard Morris Uttard Jr., DMD

  • General Practice Dentistry
  • Palmerton, PA
National Provider Identifier
1881795524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029809L Issued in PA
Practice address
3120 Fireline Road
Palmerton, PA 18071
Phone
(610) 826-3288
Fax
(610) 824-2010
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DS029809L PA Primary

Addresses

Primary practice location

3120 Fireline Road
Palmerton, PA 18071

Mailing address

3120 Fireline Road
Palmerton, PA 18071
Phone (610) 826-3288

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

LicenseStateTypeSpecialty
DS029809LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881795524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 FIRELINE ROAD",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "18071",
            "telephone_number": "610-826-3288",
            "fax_number": "610-824-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 FIRELINE ROAD",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "18071",
            "telephone_number": "610-826-3288",
            "fax_number": "610-824-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTARD",
        "first_name": "RICHARD",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029809L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.