Jacquelyn Richardson, DDS
NPI 1780853366 · Dentist · Moline, IL
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Richardson, DDS is a Dentist provider in Moline, IL (NPI 1780853366).
Provider details
- NPI number
- 1780853366
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019-026572 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2014-08-20
Frequently asked questions
- What is Jacquelyn Richardson's NPI number?
- Jacquelyn Richardson's National Provider Identifier (NPI) is 1780853366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Richardson's specialty?
- Jacquelyn Richardson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jacquelyn Richardson located?
- Jacquelyn Richardson's practice location on file with NPPES is 609 35th Ave Ste 3, Moline, IL 61265-6146.
- What is Jacquelyn Richardson's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Richardson is (309) 762-3015.
- Does Jacquelyn Richardson accept Medicare?
- Jacquelyn Richardson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Richardson's NPI active?
- Yes — Jacquelyn Richardson's NPI (1780853366) is active in the NPPES registry as of the last update on 2014-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.