Individual provider Active NPI

Richard Kevin O'Brien, DC

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1043316383
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7447 Issued in FL
Practice address
603 Village Blvd Ste 303
West Palm Beach, FL 33409-1973
Phone
(561) 684-9200
Fax
(561) 684-9202
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7447 FL Primary

Addresses

Primary practice location

603 Village Blvd Ste 303
West Palm Beach, FL 33409-1973

Mailing address

603 Village Blvd Ste 303
West Palm Beach, FL 33409-1973
Phone (561) 684-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000695 FL Practitioner - Chiropractic 6002820149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinal Health Performance, Inc.Group PAC ID 1658526611, 3 clinicians

Practice addresses (Care Compare)

603 Village Blvd
Suite 303
West Palm Beach, FL 33409-1973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health Performance, Inc. Chiropractor CurrentSince Jan 30, 1998 Accepting new patients

Locations

603 Village Blvd
Ste 303
West Palm Beach, FL 33409
Phone (561) 684-9200

4 Harvard Cir
Ste 700
West Palm Beach, FL 33409
Phone (561) 684-9200

1025 N Congress Ave
West Palm Beach, FL 33409
Phone (561) 684-9200

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1043316383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 VILLAGE BLVD STE 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091973",
            "telephone_number": "561-684-9200",
            "fax_number": "561-684-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 VILLAGE BLVD STE 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091973",
            "telephone_number": "561-684-9200",
            "fax_number": "561-684-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "RICHARD",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.