DR. CHRISTOPHER BLAKE RICHARDSON (NPI# 1902184476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902184476 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER BLAKE RICHARDSON |
| Credential | D.D.S. |
| Practice Address |
1661 W 2nd Ave Corsicana TX 75110 |
| Mailing Address |
1661 W 2nd Ave Corsicana TX 75110-4107 |
| Practice Telephone | 9038721661 |
| Practice Fax Number | 9038725961 |
| Mailing Telephone | 9038721661 |
| Mailing Fax Number | 9038725961 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27274 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10901 Garland Rd, Dallas, TX 752182613 | 2144661400 | |
| 1661 W 2nd Ave, Corsicana, TX 75110 | 9038721661 | 9038725961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
| 1477058857 | Christopher Matthew Richardson | Behavior Technician | 1169 Eastern Pkwy Ste G1111, Louisville, KY 40217-1462 | 2018-03-27 |
| 1821418468 | Christopher Charles Richardson I | Internal Medicine | 3567 W Mount Whitney Ave, Riverdale, CA 93656 | 2014-04-22 |
| 1083987937 | Christopher Ronald Richardson | Dentist | 4909 Grove Avenue, Richmond, VA 23226 | 2012-02-22 |
| 1467760918 | Christopher J Richardson | Pharmacist | 1401 Woodmont Dr, Tuscumbia, AL 35674-3848 | 2010-09-17 |
| 1780727024 | Christopher Allan Richardson | Nurse Anesthetist, Certified Registered | 501 20th St Ste 606, Knoxville, TN 37916-1863 | 2007-02-15 |
| 1730580002 | Christopher Richardson | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2014-09-05 |
| 1245573575 | Christopher Tracy Richardson | Dermatology | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2013-04-04 |
| 1730421827 | Christopher Gordon Richardson | Emergency Medicine | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2013-03-27 |
| 1477817773 | Christopher Richardson | Behavioral Analyst | 12656 Lake Ridge Dr Ste C, Woodbridge, VA 22192-7504 | 2012-07-02 |
| Street Address |
1661 W 2ND AVE |
| City | CORSICANA |
| State | TX |
| Zip Code | 75110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346468329 | Michael E Eeds | Dentist | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2007-04-23 |
| 1083234744 | 1661 W 2nd Corsicana Services, LLC | Dentist | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2020-04-23 |
| 1225673098 | 1661 W 2nd Corsicana Professional, Pllc | Dentist | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2019-11-15 |
| 1265825426 | Navarro Sleep and Snoring Solutions LLC | Durable Medical Equipment & Medical Supplies | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2015-03-12 |
| 1588911234 | Michael E Eeds Dds Inc | Dentist | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2012-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881161750 | Christy Michelle Childers | Licensed Vocational Nurse | 118 S 31st Street, Corsicana, TX 75110 | 2018-10-30 |
| 1609355825 | Vi Truong | Pharmacist | 201 S 15th, Corsicana, TX 75110 | 2018-08-08 |
| 1780174383 | Nanine Marie Dickson | Counselor | 1522 N. 24th Corsicana, Tx, Corsicana, Tx, TX 75110 | 2018-05-18 |
| 1245776897 | Family and Child Guidance Center | Counselor | 317 North 12th, Suite 1, Corsicana, TX 75110 | 2017-01-06 |
| 1033567862 | Matthew Oakden | Physical Therapist | 3201 West Tx-22, Corsicana, TX 75110 | 2016-06-02 |
| 1346682572 | Byron E. Advent | Optometrist | 105 W. 7th Ave, Suite 800, Corsicana, TX 75110 | 2013-07-30 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1528361862 | Pm Management - Corsicana Nc IIi LLC | Skilled Nursing Facility | 3300 West 2nd Ave., Corsicana, TX 75110 | 2010-12-08 |
| 1245551423 | Care-a-lot Home Health Agency, Inc | Home Health | 1725 N. Beaton, Corsicana, TX 75110 | 2010-06-22 |
| 1063735561 | Tina Marie Hill | Physical Medicine & Rehabilitation | 3301 W. Park Row, Corsicana, TX 75110 | 2010-03-11 |
| Find all providers in zip 75110 | ||||
| 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 |
|---|---|---|---|---|
| 1336605559 | Justin Wright, Dds | Dentist | 1430 W 2nd Ave, Corsicana, TX 75110-3705 | 2019-02-12 |
| 1235500018 | Khalid Sadeddin | Dentist | 3811 W Highway 31, #801, Corsicana, TX 75110-9211 | 2015-10-19 |
| 1669686267 | Ralston B Gober | Dentist | 1115 W 2nd Ave, Corsicana, TX 75110-3779 | 2007-05-10 |
| 1346468329 | Michael E Eeds | Dentist | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2007-04-23 |
| 1366594590 | Richard Brent Magness | Dentist | 1465 W 2nd Ave, Ste 125, Corsicana, TX 75110-3777 | 2007-01-17 |
| 1831264183 | Pete Robert Mcelroy | Dentist | 416 N. 15th St., Corsicana, TX 75110 | 2006-11-22 |
| 1033294319 | Network Provider Associates | Dentist | 3108 W State Highway 22, Corsicana, TX 75110-2435 | 2006-10-26 |
| 1083234744 | 1661 W 2nd Corsicana Services, LLC | Dentist | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2020-04-23 |
| 1104215367 | Restore Dental Pllc | Dentist | 3108 W State Highway 22, Corsicana, TX 75110-2435 | 2015-01-12 |
| 1588911234 | Michael E Eeds Dds Inc | Dentist | 1661 W 2nd Ave, Corsicana, TX 75110-4107 | 2012-08-13 |
| Find all providers in CORSICANA | ||||
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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.