JOHN V.D. RICHARDSON, DDS., INC (NPI# 1033509435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033509435 |
| Entity Type | Organization |
| Organization Name | JOHN V.D. RICHARDSON, DDS., INC |
| Other Organization Name | JOHN D RICHARDSON DDS |
| Practice Address |
1409 Whitley Ave Suite D Corcoran CA 93212-2223 |
| Practice Telephone | 5599924138 |
| Practice Fax Number | 5599924079 |
| Mailing Telephone | 5599924138 |
| Mailing Fax Number | 5599924079 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | DR. JOHN VERNON DALE RICHARDSON (PRESIDENT) |
| Authorized Official Telephone | 5599924138 |
| Authorized Official Credential | DDS. |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN V.D. RICHARDSON DDS., INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
39700 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1255480406 | 01 | |
| TAXONOMY CODE | 1223000000X | 01 |
| Other Name | Type Code |
|---|---|
| John D Richardson DDS | Other Name - Individual/Organization |
| Street Address |
1409 WHITLEY AVE SUITE D |
| City | CORCORAN |
| State | CA |
| Zip Code | 93212-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255480406 | John Vernon Dale Richardson | Dentist | 1409 Whitley Ave, Suite D, Corcoran, CA 93212 | 2007-01-09 |
| 1881859064 | Gene Woo Kim Dds Inc | Dentist | 1409 Whitley Ave, #c, Corcoran, CA 93212-2223 | 2008-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746583 | Luis Alvarez | Specialist/Technologist | 1000 Alder Ave, Corcoran, CA 93212 | 2016-09-01 |
| 1881893667 | William Joseph Mcguinness | Internal Medicine | 4001 W. King Ave, Corcoran, CA 93212 | 2007-07-12 |
| 1265576912 | Kings View Counseling Services for Kings Count | Community/Behavioral Health | 1002 Dairy Avenue, Corcoran, CA 93212 | 2007-02-16 |
| 1093748923 | Michael Alan Ross | Physician Assistant | 900 Quebec, Corcoran, CA 93212 | 2006-07-07 |
| 1407460454 | Tiffany Jean Sparks-mendoza | Social Worker | 4001 King Ave., Corcoran, CA 93212 | 2020-09-06 |
| 1376190876 | Corrections and Rehabilitation | Pharmacy | 4001 King Avenue, Corcoran, CA 93212 | 2019-08-20 |
| 1639507825 | Benjamin J Adam | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2013-10-24 |
| 1427317700 | Carolyn Virginia Bola | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2012-05-08 |
| 1629379367 | Rachel Simmi Jerdin | Social Worker | 900 Quebec Ave, Corcoran, CA 93212 | 2010-11-11 |
| 1982928016 | Caitlin Chinn-goshgarian | Psychologist | 900 Quebec Avenue, Corcoran, CA 93212 | 2010-03-18 |
| Find all providers in zip 93212 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356838528 | Nandita Panchal Dds, A Professional Dental Corporation | Clinic/Center | 933 Whitley Ave, Corcoran, CA 93212-2429 | 2018-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.