RICHARD C. TATUM JR. D.D.S.
NPI 1710096706
Dentist - General Practice in Tuba City, AZ

Q: What is Richard Tatum's NPI number?

The NPI number for Richard Tatum is 1710096706. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Richard Tatum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Richard Tatum was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 30, 2006PECOS Enrolled

167 N. MAIN ST, TUBA CITY, AZ 86045(928) 283-2672(928) 283-2991 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Richard C. Tatum Jr. D.d.s. NPPES

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

RICHARD C. TATUM JR. D.D.S. (NPI 1710096706) is an individual general practice provider in Tuba City, Arizona, licensed in Arizona (D6672) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710096706

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRICHARD C. TATUM JR.Credential: D.D.S.

Location Address167 N. MAIN STTuba City, AZ 86045

Mailing Address3008 E. Birch AveTuba City, AZ 86045-0600 · (928) 283-2672 · Fax (928) 283-2991

Phone(928) 283-2672

Fax(928) 283-2991

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJune 8, 2011

✔ NPI 1710096706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in AZ · D6672✔ Licensed in MD · 12754

Definition

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.

167 N. MAIN ST, Tuba City, AZ 86045

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Other Identifiers 1

Medicaid888927AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard C. Tatum Jr. D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Tatum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tuba City Regional Health Care Corporation

Same address

General Acute Care Hospital

167 NORTH MAIN STREET
Tuba City, AZ 86045

Reassigned Medicare billing, Texas enrollment
540 clinicians in this Medicare group

NPI 1548294424 (928) 283-2501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 10

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

CHRISTINA L. ZEIGLER D.D.S.

Dentist (General Practice)