Keith Charles Richard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010561 Issued in IL

Practice address

138 S Oak Ave
Bartlett, IL 60103-6620

Phone

(630) 830-1500

Fax

(630) 830-2513

NPI assigned

Dec 7, 2006

Last updated

Jul 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bartlett Chiropractic Clinic, SCGroup PAC ID 6406008291, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bartlett Chiropractic Clinic, S.C.

  • Chiropractor
  • Bartlett, IL
  • NPI 1700132891
  Medicare reassignment Care Compare group NPD Authorized official
• Bartlett Chiropractic Clinic, SC

  • Chiropractor
  • Round Lake Beach, IL
  • NPI 1407211832
  NPD Authorized official
• A1 Health & Wellness, LLC

  • Primary Care Nurse Practitioner
  • Melbourne, FL
  • NPI 1518745223
  NPD (past)
• Denny Ragsdale MD Inc

  • Family Medicine Physician
  • Indialantic, FL
  • NPI 1205982089
  NPD (past)
• Mitchell R Greenberg, DC, Inc

  dba Injury Treatment Solutions

  • Chiropractor
  • Melbourne, FL
  • NPI 1780778878
  NPD (past)
• St Germain Chiropractic,PA

  • Chiropractor
  • Apopka, FL
  • NPI 1255515029
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1245399054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S OAK AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036620",
            "telephone_number": "630-830-1500",
            "fax_number": "630-830-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S OAK AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036620",
            "telephone_number": "630-830-1500",
            "fax_number": "630-830-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "KEITH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7396",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3817636",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "AD239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Rohleder, MENTAL HEALTH COUNSE

• Chiropractor in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.