Richard Donald Bingham, DC
Individual provider Active NPI Chiropractor · Cordova, AK
NPI 1154951408 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1154951408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 153358 (AK)
- Practice address
- 622 1St Street
201
Cordova, AK 99574 - Phone
- (907) 424-3535
- Fax
- (907) 434-3545
- NPI assigned
- Jan 24, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
622 1St St
Suite 201
Cordova, AK 99574
PO Box
Suite 1174
Cordova, AK 99574
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200623000738 | AK | Practitioner - Chiropractic | 4688095003 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Alignment LLC | Chiropractor | Current |
Accepting new patients |
| Brian E. Larson, D.C., P.C. | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cordova-527880fe
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 153358 | AK | Yes |
Addresses
Primary practice location
622 1St Street
201
Cordova, AK 99574
Mailing address
PO Box 1174
Cordova, AK 99574-1174
Phone (907) 424-3535
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@northstarslignment.com |
Other providers in Cordova, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.