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DR. JAMES M. RICHARDSON, JR. D.M.D.
NPI 1629166889
Dentist in Lake City, SC

Active since October 11, 2006PECOS Enrolled
804 W MAIN ST, LAKE CITY, SC 29560(843) 374-8010(843) 374-2030 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James M. Richardson, Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES M. RICHARDSON, JR. D.M.D. (NPI 1629166889) is an individual dentist in Lake City, South Carolina, licensed in South Carolina (2547) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629166889
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JAMES M. RICHARDSON, JR.Credential: D.M.D.
Location Address804 W MAIN STLake City, SC 29560-4400
Mailing Address804 W Main StLake City, SC 29560-4400 · (843) 374-8010 · Fax (843) 374-2030
Phone(843) 374-8010
Fax(843) 374-2030
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629166889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 2547
Definition
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.
804 W MAIN ST, Lake City, SC 29560
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Other Identifiers 1

MedicaidZZ2547SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James M. Richardson, Jr. D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM D. MCDANIEL D.M.D.
Dentist
804 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 374-2021
LAKE CITY FAMILY DENTISTRY
Dentist
804 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 374-2021
LAKE CITY FAMILY DENTISTRY
Dentist
804 W MAIN ST
LAKE CITY, SC 29560
Florence County (843) 374-2021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Richardson, Jr.'s NPI number?

The NPI number for James Richardson, Jr. is 1629166889. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is James Richardson, Jr. located?

James Richardson, Jr. practices at 804 W Main St, Lake City, SC 29560. The listed phone number is (843) 374-8010.

What is James Richardson, Jr.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is James Richardson, Jr. enrolled in Medicare?

Yes. James Richardson, Jr. is registered in the Medicare PECOS enrollment system.

What insurance does James Richardson, Jr. accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list James Richardson, Jr. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Richardson, Jr. was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.