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DR. JOHN JOSEPH RICHARD DDS
NPI 1700865441
Dentist - Oral and Maxillofacial Surgery in Crystal Lake, IL

Active since January 11, 2006Opted out of Medicare · through Oct 1, 2026
690 NORTH ROUTE 31, CRYSTAL LAKE, IL 60012(815) 459-5600(815) 459-5601 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Joseph Richard Dds NPPES

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

DR. JOHN JOSEPH RICHARD DDS (NPI 1700865441) is an individual oral and maxillofacial surgery provider in Crystal Lake, Illinois and active in the NPI registry since January 2006. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1700865441
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN JOSEPH RICHARDCredential: DDS
Location Address690 NORTH ROUTE 31Crystal Lake, IL 60012
Mailing Address9915 Carlisle LnVillage Of Lakewood, IL 60014-4819 · (815) 444-1533 · Fax (815) 459-5601
Phone(815) 459-5600
Fax(815) 459-5601
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700865441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
690 NORTH ROUTE 31, Crystal Lake, IL 60012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Joseph Richard Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

ADAM OZMENT D.D.S.
Dentist (Oral and Maxillofacial Surgery)
690 NORTH ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 459-5600
ARIADNA ALICIA TORRES-GORENA DDS, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
690 NORTH ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 325-0208

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 John Richard's NPI number?

The NPI number for John Richard is 1700865441. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is John Richard located?

John Richard practices at 690 North Route 31, Crystal Lake, IL 60012. The listed phone number is (815) 459-5600.

What is John Richard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Richard enrolled in Medicare?

No. John Richard has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Richard 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.