Individual provider Active NPI

J Macandrew Richardson, D.C.

  • Chiropractor
  • Wilton Manors, FL
National Provider Identifier
1023173663
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9030 Issued in FL
Practice address
2450 NE 13TH Ave
Wilton Manors, FL 33305-1304
Phone
(954) 537-8898
Fax
(954) 537-8898
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9030 FL Primary

Addresses

Primary practice location

2450 NE 13TH Ave
Wilton Manors, FL 33305-1304

Mailing address

2450 NE 13TH Ave
Wilton Manors, FL 33305-1304
Phone (954) 537-8898

Other identifiers 1

IdentifierTypeStateIssuer
CH 9030OtherFLLICENSE

Other names 1

  • Dr. Andreu J Macandrew Richardson Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH 9030FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Andreu J Richardson, DC, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andreu.richardson.1@14958.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1023173663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NE 13TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051304",
            "telephone_number": "954-537-8898",
            "fax_number": "954-537-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 NE 13TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051304",
            "telephone_number": "954-537-8898",
            "fax_number": "954-537-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "J MACANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH 9030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREU J MACANDREW",
            "last_name": "RICHARDSON",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.