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DR. RICHARD C VANDIVER DDS
NPI 1932243094
Dentist - General Practice in Shreveport, LA

Active since February 20, 2007
1625 DAVID RAINES RD, SHREVEPORT, LA 71107(318) 841-6048(318) 841-6044 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard C Vandiver Dds NPPES

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

DR. RICHARD C VANDIVER DDS (NPI 1932243094) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (4538) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1932243094
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD C VANDIVERCredential: DDS
Location Address1625 DAVID RAINES RDShreveport, LA 71107-5899
Mailing Address2125 E Bert Kouns Industrial Loop, Unit #3Shreveport, LA 71105-5314 · (318) 349-1909
Phone(318) 841-6048
Fax(318) 841-6044
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1932243094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 4538
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.
1625 DAVID RAINES RD, Shreveport, LA 71107
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Other Identifiers 2

Other20409LA · Cds #
Other4538LA · State Board License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DANA SUMBLER NURSE PRACTITIONER
Nurse Practitioner
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
MS. ROSALINE MICHELLE DARTY AP NP
Nurse Practitioner (Psychiatric/Mental Health)
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
DAVID RAINES COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252
LAWRENCE DWAYNE COUNTS MD
Internal Medicine (Nephrology)
1625 DAVID RAINES RD
SHREVEPORT, LA 71107
Caddo Parish (318) 425-2252

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 Richard Vandiver's NPI number?

The NPI number for Richard Vandiver is 1932243094. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Richard Vandiver located?

Richard Vandiver practices at 1625 David Raines Rd, Shreveport, LA 71107. The listed phone number is (318) 841-6048.

What is Richard Vandiver's specialty?

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

What insurance does Richard Vandiver accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 11 other insurers list Richard Vandiver 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 Richard Vandiver was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.