Individual provider Active NPI

Richard Mark Strickland, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1972613172
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
F4573 Issued in TX
Practice address
14655 Preston Rd
Dallas, TX 75254-7805
Phone
(817) 888-8100
Fax
(817) 677-0114
NPI assigned
Aug 30, 2006
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X F4573 TX Primary

Addresses

Primary practice location

14655 Preston Rd
Dallas, TX 75254-7805

Mailing address

PO Box 150569
Arlington, TX 76015-6569
Phone (817) 888-8100

Other practice location 1

5525 Research Park Dr Fl 4
Baltimore, MD 21228-4873
Phone (410) 882-3240

Other practice location 2

8000 Frankford Rd
Dallas, TX 75252-6834
Phone (972) 232-8080

Other identifiers 2

IdentifierTypeStateIssuer
035882201MedicaidTX
035882202MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000035 TX Practitioner - Internal Medicine 8022912807 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F4573TXMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1972613172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150569",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760156569",
            "telephone_number": "817-888-8100",
            "fax_number": "817-677-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14655 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547805",
            "telephone_number": "817-888-8100",
            "fax_number": "817-677-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Research Park Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212284873",
            "country_code": "US",
            "telephone_number": "410-882-3240",
            "fax_number": "410-661-5093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Frankford Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752526834",
            "country_code": "US",
            "telephone_number": "972-232-8080",
            "fax_number": "972-232-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "F4573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035882201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035882202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.