Individual provider Active NPI

David Richardson, DC

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1104890433
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1406 Issued in AL
Practice address
2302 McFarland Blvd E
Tuscaloosa, AL 35404-5853
Phone
(205) 345-2009
Fax
(205) 345-2039
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1406 AL Primary

Addresses

Primary practice location

2302 McFarland Blvd E
Tuscaloosa, AL 35404-5853

Mailing address

2302 McFarland Blvd E
Tuscaloosa, AL 35404-5802
Phone (205) 345-2009

Other identifiers 1

IdentifierTypeStateIssuer
510-73659OtherALBCBS AL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000120 AL Practitioner - Chiropractic 4486676392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1406ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Crimson Chiropractic Corporation CurrentSince Jun 23, 2024 Accepting new patients

Locations

2302 McFarland Blvd E
Tuscaloosa, AL 35404
Phone (205) 345-2009

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1104890433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 MCFARLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045802",
            "telephone_number": "205-345-2009",
            "fax_number": "205-345-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 MCFARLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045853",
            "telephone_number": "205-345-2009",
            "fax_number": "205-345-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "510-73659",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.