Individual provider Active NPI

Richard Arville Watson, D.C.

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1063550333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002171 Issued in GA
Practice address
9570 Nesbit Ferry Rd
Suite 101
Alpharetta, GA 30022-6859
Phone
(770) 641-0029
Fax
(770) 643-7845
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR002171 GA Primary

Addresses

Primary practice location

9570 Nesbit Ferry Rd
Suite 101
Alpharetta, GA 30022-6859

Mailing address

9570 Nesbit Ferry Rd
Suite 101
Alpharetta, GA 30022-6859
Phone (770) 641-0029

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

State licenses

LicenseStateTypeSpecialty
CHIR002171GAMDChiropractor
2171GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alpharetta Family Chiropractic, LLC Chiropractor CurrentSince Oct 19, 2020 Accepting new patients

Locations

9570 Nesbit Ferry Rd
Ste 101
Alpharetta, GA 30022
Phone (404) 456-8122

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063550333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 NESBIT FERRY RD",
            "address_2": "SUITE 101",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226859",
            "telephone_number": "770-641-0029",
            "fax_number": "770-643-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 NESBIT FERRY RD",
            "address_2": "SUITE 101",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226859",
            "telephone_number": "770-641-0029",
            "fax_number": "770-643-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RICHARD",
        "middle_name": "ARVILLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.