Active NPI
Kiera N Richardson, DC
- Chiropractor
- Maitland, FL
National Provider Identifier
1174368765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15027
- Practice address
- 555 Winderley PL Ste 105
Maitland, FL 32751-7402 - Phone
- (407) 401-8079
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- 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 | 15027 | FL | Primary |
Addresses
Primary practice location
555 Winderley PL Ste 105
Maitland, FL 32751-7402
Mailing address
3964 Dequattro Dr Unit 7305
Rockledge, FL 32955-7523
Phone (919) 522-7396
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15027 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1174368765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3964 DEQUATTRO DR UNIT 7305",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329557523",
"telephone_number": "919-522-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WINDERLEY PL STE 105",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517402",
"telephone_number": "407-401-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "KIERA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.