Organization Active NPI

Randall N Earick DC LLC

  • Chiropractor
  • Sun City, AZ
National Provider Identifier
1063716694
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0810 Issued in AZ
Legal business name
RANDALL N EARICK DC LLC
Practice address
10820 W Oakmont Dr Ste 3
Sun City, AZ 85351-3371
Phone
(623) 974-5588
Fax
(623) 974-5589
NPI assigned
Dec 22, 2010
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Dr. Randall Ney Earick, DCNPI 1285643858
Title
President
Phone
(623) 974-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0810 AZ Primary

Addresses

Primary practice location

10820 W Oakmont Dr Ste 3
Sun City, AZ 85351-3371

Mailing address

10820 W Oakmont Dr Ste 3
Sun City, AZ 85351-3371
Phone (623) 974-5588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000775 AZ Part B Supplier - Clinic/Group Practice 0840479572 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City, AZ

National Provider Directory

National Provider Directory

Locations

10820 W Oakmont Dr
Ste 3
Sun City, AZ 85351
Phone (602) 974-5588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1063716694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 W OAKMONT DR STE 3",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513371",
            "telephone_number": "623-974-5588",
            "fax_number": "623-974-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 W OAKMONT DR STE 3",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513371",
            "telephone_number": "623-974-5588",
            "fax_number": "623-974-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL N EARICK DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "EARICK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "NEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-974-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "0810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.