Active NPI
Richard Lawrence Skrill, DC MS MAC
- Chiropractor
- Tucson, AZ
National Provider Identifier
1215098058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4974
- Practice address
- 3984 N Campbell Ave
Tucson, AZ 85719-1461 - Phone
- (520) 321-1171
- Fax
- (520) 321-1183
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4974 | AZ | Primary |
| Acupuncturist | 171100000X | 221 | AZ | |
| Specialist | 174400000X | 2790 | AZ |
Addresses
Primary practice location
3984 N Campbell Ave
Tucson, AZ 85719-1461
Mailing address
3984 N Campbell Ave
Tucson, AZ 85719-1461
Phone (520) 321-1171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0237150 | Other | AZ | BLUE CROSS |
| 1Z2120 | Other | HEALTH NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051202000283 | AZ | Practitioner - Chiropractic | 5193745388 | Practice locations: Tucson, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3984 N Campbell Ave
Tucson, AZ 85719-1461
Phone (520) 321-1171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2790 | AZ | MD | Specialist |
| 4974 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1215098058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3984 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857191461",
"telephone_number": "520-321-1171",
"fax_number": "520-321-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3984 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857191461",
"telephone_number": "520-321-1171",
"fax_number": "520-321-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKRILL",
"first_name": "RICHARD",
"middle_name": "LAWRENCE",
"credential": "DC MS MAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4974",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "221",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "2790",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0237150",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1Z2120",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.