Active NPI
Richard D Wolfe, DC
- Chiropractor
- De Queen, AR
National Provider Identifier
1013918689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1254
- Practice address
- 1169 Highway 70 E
De Queen, AR 71832-8008 - Phone
- (870) 642-4050
- Fax
- (870) 642-4059
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1254 | AR | Primary |
Addresses
Primary practice location
1169 Highway 70 E
De Queen, AR 71832-8008
Mailing address
1169 Highway 70 E
De Queen, AR 71832-8008
Phone (870) 642-4050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59821 | Other | AR | BLUE CROSS BLUE SHIELD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Daniel Wolfe Dcpa | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- De Queen, AR
- NPI 1821123001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1013918689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 HIGHWAY 70 E",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718328008",
"telephone_number": "870-642-4050",
"fax_number": "870-642-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 HIGHWAY 70 E",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718328008",
"telephone_number": "870-642-4050",
"fax_number": "870-642-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "59821",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in De Queen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.