Richard William Hompesch III, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

105542 Issued in AK

Practice address

2009 Cowles St
Fairbanks, AK 99701-5916

Phone

(907) 374-8111

Fax

(907) 374-8119

NPI assigned

Apr 29, 2010

Last updated

Aug 11, 2016By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 28, 2023 through Sep 28, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Star Oral & Facial Surgery, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Fairbanks, AK
  • NPI 1316492960
  Authorized official Same address or phone
• Arctic Internal Medicine, PB

  • Internal Medicine Physician
  • Fairbanks, AK
  • NPI 1649314071
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1922325943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N CUSHMAN ST STE 400",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997012879",
            "telephone_number": "907-978-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015916",
            "telephone_number": "907-374-8111",
            "fax_number": "907-374-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMPESCH",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": "105542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Jordan Hom
• Stephanie Homan, PA-C
• Home Town Physical Therapy, LLC
• Christina Maria Naomi Hommel, LPC, MAC
• Catherine Kim Hompesch, M.D.
• Jennifer Hood, L.P.C.
• Wendy Lou Hooker, CMT
• Shelby Rae Hooper
• Cristina Lyn Hoover I
• Marissa Hopcroft, LMT

• Oral and Maxillofacial Surgery (Dentist) in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.