DR. RICHARD LEE ANDERSON (NPI# 1962626051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962626051 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LEE ANDERSON |
| Credential | DDS |
| Practice Address |
3019 Washington Ave Racine WI 53405 |
| Practice Telephone | 2626333301 |
| Mailing Telephone | 2626333301 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0866G | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275996159 | Richard Anderson | Social Worker | 10 Offutt Cyn, Silver City, NM 88061-8740 | 2016-03-30 |
| 1205210911 | Richard Anderson | Dentist | 840 Nissan Dr., Smyrna, TN 37167 | 2015-07-13 |
| 1437568342 | Richard Anderson Jr. | Pharmacist | 5004 West Esplanade Ave, Metairie, LA 70006 | 2014-08-05 |
| 1801145354 | Richard M Anderson | Psychologist | 21 Windsor On The Marsh, Savannah, GA 31419-2409 | 2012-08-30 |
| 1801188693 | Richard Warren Anderson | Anesthesiology | 28 1/2 Myrtle St, Apartment 3, Boston, MA 02114-4531 | 2011-05-11 |
| 1750512430 | Richard L Anderson | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2009-07-29 |
| 1982877114 | Richard Anderson | Counselor | 15805 Bayliss, Detroit, MI 48238 | 2008-04-09 |
| 1669659066 | Richard E. Anderson | Internal Medicine | 185 Greenwood Rd, Napa, CA 94558-6270 | 2008-01-28 |
| 1871715110 | Richard Anderson | Social Worker | Rt 16 & Goodrich Falls Rd, Glen, NH 03838 | 2007-05-03 |
| 1376762427 | Richard C. Anderson | Dentist | 208 Se Third Street, Cochran, GA 31014-0494 | 2007-04-25 |
| Street Address |
3019 WASHINGTON AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1306297288 | Basia M Kowalik | Dentist | 1076 Bedford Ct, Racine, WI 53406-7010 | 2016-06-22 |
| 1659713790 | Lisa Minkowski | Dentist | 5045 Nature Trl, Racine, WI 53403-4428 | 2013-07-17 |
| 1609184373 | Tnd Associates, Inc. | Dentist | 4915 Washington Ave, Suite B., Racine, WI 53406-4221 | 2010-09-15 |
| 1023244159 | Kimberly A Kind-bauer | Dentist | 4445 Taylor Ave, Racine, WI 53405-4642 | 2009-06-03 |
| 1467665935 | Tiffany Jeannine Smalkoski | Dentist | 4425 Taylor Avenue, Suite 3, Racine, WI 53405-4642 | 2007-05-08 |
| 1568675676 | Anthony John Budzinski | Dentist | 2510 Erie St, Racine, WI 53402-4414 | 2007-05-07 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1982736583 | James Ebner Luetzow | Dentist | 6011 Durand Ave, Suite 200, Racine, WI 53406-5060 | 2007-03-09 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| Find all providers in RACINE | ||||
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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.