Individual provider Active NPI

Richard Layden Jr., D.C.

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1063966620
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9800 Issued in FL
Practice address
27970 Crown Lake Blvd
Ste1
Bonita Springs, FL 34135-4255
Phone
(239) 947-3330
Fax
(239) 947-9493
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9800 FL Primary

Addresses

Primary practice location

27970 Crown Lake Blvd
Ste1
Bonita Springs, FL 34135-4255

Mailing address

27970 Crown Lake Blvd
Ste1
Bonita Springs, FL 34135-4255
Phone (239) 947-3330

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
CH9800FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1063966620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27970 CROWN LAKE BLVD",
            "address_2": "STE1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354255",
            "telephone_number": "239-947-3330",
            "fax_number": "239-947-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27970 CROWN LAKE BLVD",
            "address_2": "STE1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354255",
            "telephone_number": "239-947-3330",
            "fax_number": "239-947-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYDEN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.