DR. DONALD GLENN RICHARDSON (NPI# 1144371774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144371774 |
| Entity Type | Individual |
| Full Name | DR. DONALD GLENN RICHARDSON |
| Credential | DMD |
| Practice Address |
13603 Barrett Office Drive Ste 104 St Louis MO 63021-7828 |
| Practice Telephone | 3148223868 |
| Practice Fax Number | 3148221101 |
| Mailing Telephone | 3148223868 |
| Mailing Fax Number | 3148221101 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12234 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336283548 | Donald Ray Richardson | Psychologist | 11704 Kingston Pike, Knoxville, TN 37934-3827 | 2007-02-19 |
| 1003904004 | Donald L Richardson | Optometrist | 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 | 2006-10-11 |
| 1184676488 | Donald E. Richardson | Neurological Surgery | 1200 Pinnacle Pkwy Ste 7, Covington, LA 70433 | 2006-05-16 |
| 1679574925 | Donald Ray Richardson | Dermatology | 1000 E High St, Ste B, Charlottesville, VA 22902-4848 | 2005-08-09 |
| 1538566369 | Donald Richardson | Case Management | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-11-21 |
| 1588972038 | Donald Brent Richardson | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2010-09-17 |
| 1427384882 | Donald James Richardson | Chiropractor | 10628 Riverside Dr, Ste. #5, Toluca Lake, CA 91602-2358 | 2009-10-20 |
| 1518076694 | Donald Edward Richardson | Speech-Language Pathologist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-08-30 |
| 1932176765 | Donald Wingfield Richardson | Internal Medicine | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2006-03-01 |
| 1700867215 | Donald Richardson | Family Medicine | 12345 W Bend Dr, Suite 300, Saint Louis, MO 63128-2182 | 2005-11-10 |
| Street Address |
13603 BARRETT OFFICE DRIVE STE 104 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63021-7828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912056151 | Kleitz Dmd Richardson Dmd PC | Dentist | 13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828 | 2007-01-09 |
| 1104978378 | Randall Allen Kleitz | Dentist | 13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1013170711 | John Andrew Schleiffanth | Dentist | 6512 Lansdowne Ave, St Louis, MO 63109-2654 | 2008-07-03 |
| 1033376884 | Cornell C Thomas | Dentist | 3737 N Kings Highway, Suite 108, St Louis, MO 63115 | 2008-05-20 |
| 1255515995 | Timothy A Schaible Dmd PC | Dentist | 1544 Sierra Vista Plaza, St Louis, MO 63138 | 2007-12-18 |
| 1346363116 | William James Hartel | Dentist | 9323 Manchester Rd, St Louis, MO 63119 | 2007-04-09 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| 1013067164 | Alan Samuel Levi | Dentist | 11709 Old Ballas, Ste 100, St Louis, MO 63141-7029 | 2007-01-11 |
| 1063561397 | Ronald Terry Lang | Dentist | 2254 Union Rd, St Louis, MO 63128 | 2007-01-09 |
| 1912056151 | Kleitz Dmd Richardson Dmd PC | Dentist | 13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828 | 2007-01-09 |
| Find all providers in ST LOUIS | ||||
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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.