Christopher Blake Richardson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27274 Issued in TX

Practice address

1661 W 2ND Ave
Corsicana, TX 75110

Phone

(903) 872-1661

Fax

(903) 872-5961

NPI assigned

Aug 1, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1902184476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104107",
            "telephone_number": "903-872-1661",
            "fax_number": "903-872-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "903-872-1661",
            "fax_number": "903-872-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10901 Garland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752182613",
            "country_code": "US",
            "telephone_number": "214-466-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 W 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "75110",
            "country_code": "US",
            "telephone_number": "903-872-1661",
            "fax_number": "903-872-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Employee Assistance Program Inc
• Restore Dental PLLC
• Ida Pearl Reynolds, P.N.P.
• Johanna Rhodes, OTR
• Richard P Harper, DDS, PHD, PA
• Mario P. Ridad
• Merideth Riedel, COTA
• Emilye Robbins
• Robert W Adelman Et Al PTR Kelman and Associates
• Condred W Roberts, CRNA

• General Practice Dentistry in Corsicana, TX
• Providers in Corsicana, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.