Individual provider Active NPI

Micah T Richeson, DC

  • Chiropractor
  • Wesley Chapel, FL
National Provider Identifier
1326071929
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0008354 Issued in FL
Practice address
2304 Crestover LN Ste 102
Wesley Chapel, FL 33544-6788
Phone
(813) 994-5455
Fax
(813) 994-4656
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0008354 FL Primary

Addresses

Primary practice location

2304 Crestover LN Ste 102
Wesley Chapel, FL 33544-6788

Mailing address

2304 Crestover LN Ste 102
Wesley Chapel, FL 33544-6788
Phone (813) 994-5455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000630 FL Practitioner - Chiropractic 4284784794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2304 Crestover LN
Suite 102
Wesley Chapel, FL 33544-6788
Phone (813) 994-5455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0008354FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Chiropractic and Wellness, PL Chiropractor CurrentSince Sep 3, 2008 Accepting new patients
Global Mobile Diagnostics of Wesley Chapel, Inc PastSince Sep 15, 2008 Accepting new patients
Chiropractic Associates of Alachua, P.a. Chiropractor PastSince Mar 1, 2001 Accepting new patients

Locations

2304 Crestover Ln
Ste 102
Wesley Chapel, FL 33544
Phone (813) 994-5455

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1326071929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 CRESTOVER LN STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446788",
            "telephone_number": "813-994-5455",
            "fax_number": "813-994-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 CRESTOVER LN STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446788",
            "telephone_number": "813-994-5455",
            "fax_number": "813-994-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHESON",
        "first_name": "MICAH",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0008354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.