Dlca LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DLCA LLC

Practice address

71 Vista Ridge Dr
South Lebanon, OH 45065-8755

Phone

(513) 292-6564

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

Dr. Kenrick Sylvester Richardson, M.D.NPI 1295736049

Title

Owner-President

Phone

(513) 292-6564

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenrick S. Richardson, MD

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295736049

  Internal Medicine

  NPD (past) Authorized official

• Dedicated Longterm Care Associates Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962500124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 VISTA RIDGE DR",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450658755",
            "telephone_number": "513-292-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 VISTA RIDGE DR",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450658755",
            "telephone_number": "513-292-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KENRICK",
        "authorized_official_middle_name": "SYLVESTER",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "513-292-6564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Longterm Care Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel Robert Burnham, DDS
• Alexis Byrd
• Katherine Anne Carlson, MSW, LISW-S
• Rayna Coronado Quentin
• Zachary Dickman, DPT
• Sandra Kay Foley
• Tiesha Garrett, DPT
• Jatana Gentry
• Health Continuum, LLC
• Rebecca Herren, RPH

• All providers in South Lebanon, OH
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.