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Deactivated NPI 1164500377 Deactivated / Inactive NPI Female Practitioner

Dr. Melody Miller Richardson , DDS

Dentist • Peru, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Melody Richardson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2006
NPI Deactivation Date October 22, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Melody Richardson, DDS was a registered Dentist practicing in Peru, IN. Throughout an active medical career spanning 15 years, Dr. Richardson provided care at the practice location at 63 WEST 6TH ST until profile deactivation on 2021-10-22.

Practice Location & Contact Primary Location

Practice Address

63 West 6th St

Peru, IN 469702134

Telephone 7654734109

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Peru, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Peru, IN (1682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-22
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12009144A

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated October 22, 2021

Record deactivated on October 22, 2021

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NPI Profile Reactivated October 22, 2021

Record officially reactivated for active practice on October 22, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 63 WEST 6TH ST, PERU, IN 469702134 (Tel: 7654734109)

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Updated Business Mailing Address July 08, 2007

Registered at 63 WEST SIXTH ST, PERU, IN 469702134 (Tel: 7654734109)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MELODY RICHARDSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12009144A in IN)

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Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164500377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: October 22, 2021
Deactivation Date: October 22, 2021
Sole Proprietor: No

Mailing Address

63 West Sixth St

Peru, IN 469702134

Phone: 7654734109

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.