Organization Active NPI

Richert Chiropractic Inc

Doing business as Richert Chiropractic Clinic

  • Chiropractor
  • New Haven, IN
National Provider Identifier
1174710677
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
IN08001598A Issued in IN
Legal business name
RICHERT CHIROPRACTIC INC
Doing business as
Richert Chiropractic Clinic
Practice address
610 Professional Park Dr
New Haven, IN 46774-1995
Phone
(260) 749-2225
NPI assigned
Sep 27, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Ms. Anita A Richert, CPA
Title
Cfo
Phone
(260) 749-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IN08001598A IN Primary
Acupuncturist 171100000X IN08001598A IN

Addresses

Primary practice location

610 Professional Park Dr
New Haven, IN 46774-1995

Mailing address

610 Professional Park Dr
New Haven, IN 46774-1995
Phone (260) 749-2225

Other identifiers 1

IdentifierTypeStateIssuer
1811994684OtherINNPPES

Other names 1

  • Richert Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000595 IN Part B Supplier - Clinic/Group Practice 5991965642 Receives reassigned benefits from 1 practitioner
Practice locations: New Haven, IN

National Provider Directory

National Provider Directory

Locations

610 Professional Park Dr
New Haven, IN 46774
Phone (219) 493-8556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1174710677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL PARK DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741995",
            "telephone_number": "260-749-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL PARK DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741995",
            "telephone_number": "260-749-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHERT CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "260-749-2225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "IN08001598A",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "IN08001598A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1811994684",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richert Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.