Active NPI
Damian Seth Richardson, D.C.
- Nutrition Chiropractor
- Creede, CO
National Provider Identifier
1194909119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 5177
- Practice address
- 493 S. Main Street
Creede, CO 81130 - Phone
- (719) 658-0526
- NPI assigned
- Dec 27, 2007
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 5177 | CO | Primary |
Addresses
Primary practice location
493 S. Main Street
Creede, CO 81130
Mailing address
PO Box 123
Creede, CO 81130-0123
Phone (719) 658-3079
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5177 | CO | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creede Chiropractic and Kinesiology Clinic, Inc | Nutrition | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nutrition Chiropractor
- Creede, CO
- NPI 1760519409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1194909119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123",
"city": "CREEDE",
"state": "CO",
"postal_code": "811300123",
"telephone_number": "719-658-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 S. MAIN STREET",
"city": "CREEDE",
"state": "CO",
"postal_code": "81130",
"telephone_number": "719-658-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DAMIAN",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "5177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creede, CO
- Joanna Renee Johnson, MT
- Mineral County
- Mineral County Dental Clinic
- Mineral County Public Health
- New You Chiropractic Wellness Center, LLC
- Michelle R Richardson, M.S., D.C.
- Richard Allen Rivera, PA-C
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Schonett Merie Young, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.