NPIMap

Organization Active NPI

Richardson Center for Oral & Facial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Elkridge, MD
National Provider Identifier
1972733566
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
14259 Issued in MD
Legal business name
RICHARDSON CENTER FOR ORAL & FACIAL SURGERY PC
Practice address
6865 Deerpath Rd
Dorsey Station, Suite 302
Elkridge, MD 21075-6257
Phone
(410) 796-3333
Fax
(410) 796-3375
NPI assigned
Jul 17, 2009
Last updated
Jul 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. Daniel T Richardson, MD, DMDNPI 1740271915
Title
Owner
Phone
(410) 796-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 14259 MD Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D0067181 MD

Addresses

Primary practice location

6865 Deerpath Rd
Dorsey Station, Suite 302
Elkridge, MD 21075-6257

Mailing address

6865 Deerpath Rd
Dorsey Station, Suite 302
Elkridge, MD 21075-6257
Phone (410) 796-3333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1972733566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 DEERPATH RD",
            "address_2": "DORSEY STATION, SUITE 302",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756257",
            "telephone_number": "410-796-3333",
            "fax_number": "410-796-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 DEERPATH RD",
            "address_2": "DORSEY STATION, SUITE 302",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756257",
            "telephone_number": "410-796-3333",
            "fax_number": "410-796-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON CENTER FOR ORAL & FACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-796-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14259",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "D0067181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.