C E Richardson Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33073 Issued in CA

Legal business name

C E RICHARDSON CHIROPRACTIC INC

Doing business as

Free My Spine Health Group

Practice address

7904 Foothill Blvd
Sunland, CA 91040-2937

Phone

(818) 455-5443

Fax

(818) 230-0443

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edward Richardson III, D.C.NPI 1215331475

Title

Ceo/Chiropractor

Phone

(818) 455-5443

Specialties & licenses 1

Addresses

Other names 1

• Free My Spine Health Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Edward Richardson III, D.C.

  • Chiropractor
  • Tujunga, CA
  • NPI 1215331475
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1295189405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402937",
            "telephone_number": "818-455-5443",
            "fax_number": "818-230-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7904 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402937",
            "telephone_number": "818-455-5443",
            "fax_number": "818-230-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C E RICHARDSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/CHIROPRACTOR",
        "authorized_official_telephone_number": "818-455-5443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free My Spine Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Sunland, CA
• Providers in Sunland, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.