SAMUEL RICHARDS (NPI# 1629449186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629449186 |
Entity Type | Individual |
Full Name | SAMUEL RICHARDS |
Credential | DDS |
Practice Address |
554 Keily Street Bur of Med & Surg Cred & Priv Division Jacksonville FL 23324 |
Practice Telephone | 7579537011 |
Mailing Telephone | 7579537011 |
Enumeration Date | 2015-10-09 |
Last Update Date | 2015-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
15384 | MD | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407496276 | Samuel Allard Richards | Physician Assistant | 1211 N 16th Ave, Yakima, WA 98902-1347 | 2020-01-09 |
1609382050 | Samuel Stephen Richards | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-12-21 |
1992149249 | Samuel Wallace Richards | Chiropractor | 2575 Harn Blvd, Clearwater, FL 33764-3211 | 2013-04-17 |
Street Address |
554 KEILY STREET BUR OF MED & SURG CRED & PRIV DIVISION |
City | JACKSONVILLE |
State | FL |
Zip Code | 23324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326019373 | Brian G Norwood | Pediatrics | 554 Keily Street, Jacksonville, FL 32212 | 2006-01-29 |
1811461726 | Yocelin Hernandez Rojero | Occupational Therapist | 554 Keily Street, Jacksonville Fl 32212, Jacksonville, FL 32212 | 2019-01-14 |
1609381235 | Miranda Shilelagh Schmidt | Physician Assistant | 554 Keily Street, Jacksonville, FL 32212 | 2017-12-05 |
1144733627 | Tylisha Elyse Deshields | Social Worker | 554 Keily Street, Jacksonville, FL 32212 | 2017-11-07 |
1326557976 | David Michael Tatera | Psychologist | 554 Keily Street, Jacksonville, FL 32212 | 2017-09-27 |
1104335348 | Kuang-hui Lee | General Practice | 554 Keily Street, Jacksonville, FL 32212 | 2017-09-20 |
1548788177 | Sophia Renee Beal | Speech-Language Pathologist | 554 Keily Street, Jacksonville, FL 32212 | 2017-09-04 |
1164949418 | George S Bennitt | Dentist | 554 Keily Street, Jacksonville, FL 32212-4047 | 2017-08-28 |
1124545389 | David Phillips | Student in an Organized Health Care Education/Training Program | 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-2466 | 2017-08-28 |
1902323652 | Erich Chen | Student in an Organized Health Care Education/Training Program | 554 Keily Street, Jacksonville, FL 32212 | 2017-08-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235779588 | Cynthia Dupree | Counselor | 1145 Commerce Ave, Chesapeake, VA 23324 | 2020-01-14 |
1699263780 | Barbara Ann Schweiger | Speech-Language Pathologist | 2601 Broad Street, Chesapeake, VA 23324 | 2018-04-25 |
1346738531 | Deanne Melworth Lindsey | Speech-Language Pathologist | 2107 Liberty Street, Chesapeake, VA 23324 | 2018-04-24 |
1265801104 | Vamedicabi,llc | Non-emergency Medical Transport (VAN) | 3404 Bainbridge Blvd, Chesapeake, VA 23324 | 2015-09-22 |
1225358781 | Madelyn Ortiz Brito | Psychologist | 2710 Ike St Trlr 22, Chesapeake, VA 23324 | 2010-06-08 |
1427385780 | Ivyrehab Sept, LLC | Physical Therapist | 801 Poindexter Street, Suite 219, Chesapeake, VA 23324 | 2009-11-06 |
1225102510 | Rodolfo Cejas Rosas | Internal Medicine | 2709 Campostilla Rd, Ste E, Chesapeake, VA 23324 | 2006-11-20 |
1043381759 | Chesapeake City Public Schools | Local Education Agency (LEA) | 2107 E. Liberty St, Chesapeake, VA 23324 | 2006-11-13 |
1679668941 | Lisa Cordero | Nurse Practitioner | 490 Liberty Street, Chesapeake, VA 23324 | 2006-10-04 |
1437259801 | Robert James Mealy IIi | Dentist | 2737 Campostella Rd, Chesapeake, VA 23324 | 2006-09-25 |
Find all providers in zip 23324 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932728078 | Mohammad Reza Azari Samani | Dentist | 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 | 2020-04-09 |
1215390216 | Noel Rodriguez | Dentist | Naval Branch Health Clinic Nas Jax, Bldg 9 64, Birmingham Ave., Jacksonville, FL 32214-0001 | 2016-03-29 |
1588871289 | William Raymond Gielincki Jr. | Dentist | 6855 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2007-05-16 |
1114059201 | Reza Azari Samani, Dds Pa | Dentist | 14453 Beach Blvd., Suite 100, Jacksonville, FL 32250 | 2007-03-12 |
1215951132 | Donald L. Smitha | Dentist | 812 Alderman Rd, Jacksonville, FL 32211-6102 | 2006-07-26 |
1083678262 | Eric M Olson | Dentist | 2078 Rogero Rd, Jacksonville, FL 32211-4119 | 2006-04-14 |
1023013281 | Wayne S. Barker | Dentist | 7740 Point Meadows Dr, Ste 4, Jacksonville, FL 32256-9180 | 2005-06-15 |
1265958128 | Diana Cole | Dentist | 554 Keily Street, Jacksonville, FL 32212 | 2017-08-22 |
1033528724 | Joseph Jarman | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-08-06 |
1114365970 | Agerico M Sayoc | Dentist | 13167 Atlantic Blvd, Jacksonville, FL 32225-3125 | 2013-06-13 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 23324 |
Please comment or provide details below to improve the information on SAMUEL RICHARDS.
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.