DR. JACK RICHARDSON (NPI# 1487863593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487863593 |
| Entity Type | Individual |
| Full Name | DR. JACK RICHARDSON |
| Credential | DMD |
| Practice Address |
3633 Cortez Rd W Bradenton FL 34210-3119 |
| Practice Telephone | 9417535857 |
| Practice Fax Number | 9417536186 |
| Mailing Telephone | 9417535857 |
| Mailing Fax Number | 9417536186 |
| Enumeration Date | 2007-05-22 |
| 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 |
DN4155 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811924509 | Jack Richardson | Social Worker | 2724 Capital Cir Ne, Suite 8, Tallahassee, FL 32308-1118 | 2006-06-27 |
| Street Address |
3633 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34210-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710436 | Dennis A Corona | Dentist | 3633 Cortez Rd W, Ste A01, Bradenton, FL 34210-3100 | 2005-06-14 |
| 1679975502 | Marytza Loiseau | Pharmacist | 3633 Cortez Rd W, Bradenton, FL 34210-3119 | 2014-09-23 |
| 1245667112 | Optimal Physical Therapy LLC | Physical Therapist | 3633 Cortez Rd W, Suite A4, Bradenton, FL 34210-3119 | 2013-10-08 |
| 1316243694 | Varsha Doshi | Pharmacist | 3633 Cortez Rd W, Unit B-9, Bradenton, FL 34210-3119 | 2011-02-03 |
| 1689848889 | College Plaza Dental Center | Dentist | 3633 Cortez Rd W, Suite A1, Bradenton, FL 34210-3119 | 2008-04-17 |
| 1861599409 | Nelsie Eneida Walker | Counselor | 3633 Cortez Rd W, Stepping Stone Clinic (ste A-9), Bradenton, FL 34210-3119 | 2006-09-17 |
| 1346200326 | Ma. Theresa Villarta Mendoza | Physical Therapist | 3633 Cortez Rd W, Suite A4, Bradenton, FL 34210-3119 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
| 1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
| 1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
| Find all providers in zip 34210 | ||||
| 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 |
|---|---|---|---|---|
| 1801405105 | Gustavo E Rodriguez Oliva | Dentist | 3122 53rd Ave E, Bradenton, FL 34203-4311 | 2020-07-23 |
| 1558903799 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5935 Lakewood Ranch Blvd, Bradenton, FL 34211-2464 | 2019-10-09 |
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1023676814 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 6250 State Road 70 E, Bradenton, FL 34203-9734 | 2019-06-05 |
| 1942779186 | Montiel Dental Care P. A | Dentist | 6818 14th St W, Bradenton, FL 34207-5808 | 2018-11-16 |
| 1134694359 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 7385 University Pkwy, Bradenton, FL 34202-2300 | 2018-10-04 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1083144083 | Tanya Naravane | Dentist | 5215 Manatee Ave. W., Bradenton, FL 34209-3742 | 2017-06-13 |
| 1154858413 | Marshal Earnest | Dentist | 5215 Manatee Avenue West, Bradenton, FL 34209-3742 | 2017-05-17 |
| 1740633718 | Lara D. Bacchelli | Dentist | 8754 E State Road 70 Ste 8752, Bradenton, FL 34202-3720 | 2016-07-14 |
| Find all providers in BRADENTON | ||||
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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.