Organization Active NPI

Richard L Chamberlain DO LLC

  • Family Medicine Physician
  • Franklin, OH
National Provider Identifier
1255500583
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OH34-00-4313C Issued in OH
Legal business name
RICHARD L CHAMBERLAIN DO LLC
Practice address
909 E 2ND St
Franklin, OH 45005-1700
Phone
(937) 746-8357
Fax
(937) 746-1992
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Richard L Chamberlain, D.O.
Title
D.O.
Phone
(937) 746-8357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OH34-00-4313C OH Primary

Addresses

Primary practice location

909 E 2ND St
Franklin, OH 45005-1700

Mailing address

909 E 2ND St
Franklin, OH 45005-1700
Phone (937) 746-8357

Other identifiers 1

IdentifierTypeStateIssuer
0701306MedicaidOH

National Provider Directory

National Provider Directory

Locations

909 E 2nd St
Franklin, OH 45005
Phone (937) 746-8357

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1255500583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E 2ND ST",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450051700",
            "telephone_number": "937-746-8357",
            "fax_number": "937-746-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E 2ND ST",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450051700",
            "telephone_number": "937-746-8357",
            "fax_number": "937-746-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L CHAMBERLAIN DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "937-746-8357",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH34-00-4313C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.