Individual provider Active NPI

Randall Ney Earick, DC

  • Chiropractor
  • Sun City, AZ
National Provider Identifier
1285643858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0810 Issued in AZ
Practice address
10820 Oakmont Dr
Suite 3
Sun City, AZ 85351-3371
Phone
(623) 974-5588
Fax
(623) 974-5589
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0810 AZ Primary

Addresses

Primary practice location

10820 Oakmont Dr
Suite 3
Sun City, AZ 85351-3371

Mailing address

10820 Oakmont Dr
Suite 3
Sun City, AZ 85351-3371
Phone (623) 974-5588

Other identifiers 1

IdentifierTypeStateIssuer
AZ0944620OtherAZBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000430 AZ Practitioner - Chiropractic 1052218435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10820 Oakmont Dr
Suite 3
Sun City, AZ 85351-3371
Phone (623) 974-5588

10820 W Oakmont Dr
Sun City, AZ 85351-3371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Randall N Earick DC LLC Chiropractor CurrentSince Oct 31, 2010 Accepting new patients

Locations

10820 W Oakmont Dr
Ste 3
Sun City, AZ 85351
Phone (602) 974-5588

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285643858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 OAKMONT DR",
            "address_2": "SUITE 3",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513371",
            "telephone_number": "623-974-5588",
            "fax_number": "623-974-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 OAKMONT DR",
            "address_2": "SUITE 3",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513371",
            "telephone_number": "623-974-5588",
            "fax_number": "623-974-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARICK",
        "first_name": "RANDALL",
        "middle_name": "NEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "0810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0944620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.