MR. THOMAS BRYANT RICHARDSON (NPI# 1053486134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053486134 |
| Entity Type | Individual |
| Full Name | MR. THOMAS BRYANT RICHARDSON |
| Credential | DDS |
| Practice Address |
1610 W C Pl Russellville AR 72801-2705 |
| Practice Telephone | 4799688338 |
| Practice Fax Number | 4799681688 |
| Mailing Telephone | 4799688338 |
| Mailing Fax Number | 4799681688 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3422 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | UNITED CONCORDIA PROV # | 1593213 | 01 |
| AR | BLUE CROSS PROV # | 5X544 | 01 |
| AZ | 150768608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013215094 | Thomas Anthony Richardson | Occupational Therapy Assistant | 8900 Keystone Xing Ste 600, Indianapolis, IN 46240-2131 | 2011-03-01 |
| 1144369539 | Thomas J Richardson | Chiropractor | 101 Boston Post Road, Madison, CT 06443-2167 | 2007-02-05 |
| 1821194689 | Thomas Lane Richardson | Dentist | 1250 Forest Avenue, Suite 3b, Portland, ME 04103-1884 | 2006-09-16 |
| 1174563589 | Thomas H Richardson | Dentist | 1235 Lake Plaza Dr, Suite 124, Colorado Springs, CO 80906-3581 | 2006-06-07 |
| 1588626352 | Thomas David Richardson | Dentist | 1201 E Cesar Chavez St, Austin, TX 78702-4332 | 2006-04-05 |
| 1609439363 | Thomas Richardson | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2019-04-18 |
| 1598290058 | Thomas J Richardson | Pediatrics | 264 W 118th St, New York, NY 10026-1620 | 2017-04-21 |
| 1821383183 | Thomas Richardson | Acupuncturist | 2720 W Main St, 3b, Rapid City, SD 57702-8128 | 2011-06-15 |
| 1578856100 | Thomas Lee Richardson | Pharmacist | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2011-05-16 |
| 1134438724 | Thomas Richardson | Psychologist | 2550 University Ave W, Suite 229north, Saint Paul, MN 55114-1052 | 2010-09-29 |
| Street Address |
1610 W C PL |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265825004 | Drs. Johnston & Lawrence | Dentist | 1610 W C Pl, Russellville, AR 72801-2705 | 2015-03-17 |
| 1649347634 | Michael Bruce Johnston | Dentist | 1610 W C Pl, Russellville, AR 72801-2705 | 2006-11-29 |
| 1073688131 | Drs Johnston & Richardson | Dentist | 1610 W C Pl, Russellville, AR 72801-2705 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265825004 | Drs. Johnston & Lawrence | Dentist | 1610 W C Pl, Russellville, AR 72801-2705 | 2015-03-17 |
| 1649347634 | Michael Bruce Johnston | Dentist | 1610 W C Pl, Russellville, AR 72801-2705 | 2006-11-29 |
| 1073688131 | Drs Johnston & Richardson | Dentist | 1610 W C Pl, Russellville, AR 72801-2705 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098208 | Dr. Joseph M. Mazurek, Inc | Dentist | 6500 Baseline Rd, Little Rock, AR 72209-4732 | 2020-06-19 |
| 1508334400 | Smile Shoppe Fayetteville Jeffrey D. Rhodes Dds Ms Pllc | Dentist | 3484 W Wedington Dr, Fayetteville, AR 72704-5730 | 2018-11-08 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| 1114339926 | Amanda Hankins | Dentist | 5518 W Walsh Ln, Rogers, AR 72758-8947 | 2014-05-28 |
| 1881018786 | My Village Smiles, Pllc | Dentist | 1104 Poplar Pl, Rogers, AR 72756-4249 | 2014-02-12 |
| 1689974362 | Karen Anne Green | Dentist | 1607 E Rainforest Rd, Fayetteville, AR 72703 | 2010-10-27 |
| 1740508217 | Sarah Norris Farmer | Dentist | 3310 Hwy 5 N, Bryant, AR 72019-9031 | 2010-05-09 |
| 1760648174 | James L Bevans Pediatric Dentistry Pa | Dentist | 7409 Alcoa Road, Suite 5, Bryant, AR 72022 | 2008-08-05 |
| 1720242167 | Summer Barker Tyson | Dentist | 620 Southwest Dr, Jonesboro, AR 72401-5859 | 2008-07-15 |
| 1225211196 | John Michael Burrows | Dentist | 303 Bancario, Ste 11-12, Marion, AR 72364-2825 | 2007-12-13 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.