Individual provider Active NPI

Todd Alan Richardson, D.C.P.A.

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1174634679
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000462 Issued in DE
Practice address
726 N Market St
Wilmington, DE 19801-3009
Phone
(302) 427-2990
Fax
(302) 427-2994
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000462 DE Primary

Addresses

Primary practice location

726 N Market St
Wilmington, DE 19801-3009

Mailing address

708 Ash Blvd
Middletown, DE 19709-8871
Phone (302) 449-0149

Other identifiers 11

IdentifierTypeStateIssuer
672004OtherDEACN GROUP
510405275OtherDEBLUE CROSS BLUE SHEILD
349080OtherDEAMERIHEALTH
7098137OtherDEAETNA LIFE
0056669000OtherDEAMERIHEALTH HMO
1000036285MedicaidDE
2882144OtherDEAETNA
2102080OtherDEOPTIMUM CHOICE
2102080OtherDEALLIANCE PPO
2102080OtherDEMAMSI
326083OtherDECOVENTRY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000346 DE Practitioner - Chiropractic 7113976630 Reassigns benefits to 4 organizations
Practice locations: Middletown, DE

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Wellness of Middletown LLCGroup PAC ID 9436409968, 2 clinicians

Practice addresses (Care Compare)

708 Ash Blvd
Middletown, DE 19709-8871
Phone (302) 449-0149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Wellness of Smyrna, LLC Chiropractor CurrentSince Aug 1, 2018 Accepting new patients
Pure Wellness, LLC Chiropractor CurrentSince Aug 1, 2018 Accepting new patients
Pure Wellness of Wilmington, LLC Chiropractor CurrentSince Aug 1, 2018 Accepting new patients
Pure Wellness of Middletown, LLC Chiropractor CurrentSince Aug 1, 2018 Accepting new patients
Pure Wellness of Camden, LLC Chiropractor PastSince Feb 13, 2022 Accepting new patients

Locations

4608 S DuPont Hwy
Ste 3
Dover, DE 19901
Phone (302) 213-6116

708 Ash Blvd
Middletown, DE 19709
Phone (302) 365-6520

77 Milford Neck Rd
Ste 101
Milford, DE 19963
Phone (302) 215-0313

550 Stanton Christiana Rd
Ste 302
Newark, DE 19713
Phone (302) 365-5470

1 Centurian Dr
Ste 104
Newark, DE 19713
Phone (302) 365-6520

699 S Carter Rd
Unit 5
Smyrna, DE 19977
Phone (302) 365-6520

2106 Silverside Rd
Ste 102
Wilmington, DE 19810
Phone (302) 478-8099

2106 Silverside Rd
Ste 101
Wilmington, DE 19810

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1174634679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 ASH BLVD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098871",
            "telephone_number": "302-449-0149",
            "fax_number": "302-449-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013009",
            "telephone_number": "302-427-2990",
            "fax_number": "302-427-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TODD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "D.C.P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "672004",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "510405275",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "349080",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE",
            "identifier": "7098137",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0056669000",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036285",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2882144",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "2102080",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PPO",
            "identifier": "2102080",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2102080",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "326083",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.