Individual provider Active NPI

Richard Alexander Sayklay III, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1912929134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13130 Issued in TX
Practice address
5605 Richmond Ave
Dallas, TX 75206-7113
Phone
(214) 824-2501
Fax
(214) 887-8659
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

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 13130 TX Primary

Addresses

Primary practice location

5605 Richmond Ave
Dallas, TX 75206-7113

Mailing address

5605 Richmond Ave
Dallas, TX 75206-7113
Phone (214) 824-2501

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000665 TX Order and Referring Only - DentistPractitioner - Dentist 5698073963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13130TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912929134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 RICHMOND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067113",
            "telephone_number": "214-824-2501",
            "fax_number": "214-887-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 RICHMOND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067113",
            "telephone_number": "214-824-2501",
            "fax_number": "214-887-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYKLAY",
        "first_name": "RICHARD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.