IndividualActive
Derrick Richard, DMD
NPI 1083757702 · General Practice Dentistry · Waterloo, IL
Derrick Richard, DMD is a General Practice Dentistry provider in Waterloo, IL (NPI 1083757702).
Provider details
- NPI number
- 1083757702
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 019-024830 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Phone: (618) 939-4042
Fax: (618) 939-5404
Street-level locationGet directions
Mailing address
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2015-04-19
Frequently asked questions
- What is Derrick Richard's NPI number?
- Derrick Richard's National Provider Identifier (NPI) is 1083757702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Richard's specialty?
- Derrick Richard is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Derrick Richard located?
- Derrick Richard's practice location on file with NPPES is 226 Westview Plaza Dr., Waterloo, IL 62298-1253.
- What is Derrick Richard's phone number?
- The practice phone number listed in the NPPES registry for Derrick Richard is (618) 939-4042.
- Is Derrick Richard's NPI active?
- Yes — Derrick Richard's NPI (1083757702) is active in the NPPES registry as of the last update on 2015-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.