Active NPI
Longevity Partner LLC
- Chiropractor
- Richmond, VA
National Provider Identifier
1104708601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LONGEVITY PARTNER LLC
- Practice address
- 4915 Radford Ave Ste 204
Richmond, VA 23230-3546 - Phone
- (804) 690-9355
- NPI assigned
- Jul 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Usher Roodman
- Title
- Authorized Official
- Phone
- (804) 690-9355
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
4915 Radford Ave Ste 204
Richmond, VA 23230-3546
Mailing address
7102 W Franklin St
Richmond, VA 23226-3640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4915 Radford Ave
Ste 204
Richmond, VA 23230
Phone (804) 690-9355
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Richmond, VA
- NPI 1164590709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1104708601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7102 W FRANKLIN ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 RADFORD AVE STE 204",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303546",
"telephone_number": "804-690-9355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGEVITY PARTNER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "ROODMAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "USHER",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "804-690-9355"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.