Active NPI
David Richardson, DC
- Chiropractor
- Tuscaloosa, AL
National Provider Identifier
1104890433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1406
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-73659 | Other | AL | BCBS AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1406 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crimson Chiropractic Corporation | Current | 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.
-
- Chiropractor
- Tuscaloosa, AL
- NPI 1548337652
-
- Clinic/Center
- Tuscaloosa, AL
- NPI 1356184410
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.