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DR. RICHLYN DAWNE FERNANDES DDS
NPI 1720298797
Dentist - General Practice in Stockton, CA

Active since May 22, 2007PECOS Enrolled
4255 PACIFIC AVE, STE. 6, STOCKTON, CA 95207(209) 939-9633(209) 939-9611 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richlyn Dawne Fernandes Dds NPPES

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

DR. RICHLYN DAWNE FERNANDES DDS (NPI 1720298797) is an individual general practice provider in Stockton, California, licensed in California (DZ036752) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720298797
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHLYN DAWNE FERNANDESCredential: DDS
Location Address4255 PACIFIC AVE, STE. 6Stockton, CA 95207-7638
Mailing AddressPo Box 8486Stockton, CA 95208-0486 · (209) 939-9633 · Fax (209) 939-9611
Phone(209) 939-9633
Fax(209) 939-9611
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 27, 2013
✔ NPI 1720298797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DZ036752
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.
4255 PACIFIC AVE, Stockton, CA 95207
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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. Richlyn Dawne Fernandes Dds 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 95207 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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. BRADLEY CARLSON LOUIE D.D.S.
Dentist (General Practice)
4255 PACIFIC AVE, SUITE 1
STOCKTON, CA 95207
San Joaquin County (209) 478-5616
DR. FAUSTO RENATO PRATO D.D.S.
Dentist (General Practice)
4255 PACIFIC AVE, SUITE 14
STOCKTON, CA 95207
San Joaquin County (209) 952-5454
MATTHEW CARDINALLI A DENTAL CORP
Dentist
4255 PACIFIC AVE, 14
STOCKTON, CA 95207
San Joaquin County (209) 478-7898

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 Richlyn Fernandes's NPI number?

The NPI number for Richlyn Fernandes is 1720298797. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Richlyn Fernandes located?

Richlyn Fernandes practices at 4255 Pacific Ave Ste. 6, Stockton, CA 95207. The listed phone number is (209) 939-9633.

What is Richlyn Fernandes's specialty?

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

Is Richlyn Fernandes enrolled in Medicare?

Yes. Richlyn Fernandes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richlyn Fernandes was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.