Active NPI
Mary M. Ricky-Stradford, D.C.
- Chiropractor
- Raymore, MO
National Provider Identifier
1326130352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005146
- Practice address
- 402 W Pine St
Suite F
Raymore, MO 64083-9075 - Phone
- (816) 331-8200
- Fax
- (816) 331-9112
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005146 | MO | Primary |
Addresses
Primary practice location
402 W Pine St
Suite F
Raymore, MO 64083-9075
Mailing address
402 W Pine St
Suite F
Raymore, MO 64083-9691
Phone (816) 331-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091208000060 | MO | Practitioner - Chiropractic | 3173662905 | Practice locations: Raymore, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
402 W Pine St F
Raymore, MO 64083-9691
Phone (816) 331-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005146 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1326130352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W PINE ST",
"address_2": "SUITE F",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640839691",
"telephone_number": "816-331-8200",
"fax_number": "816-331-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W PINE ST",
"address_2": "SUITE F",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640839075",
"telephone_number": "816-331-8200",
"fax_number": "816-331-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKY-STRADFORD",
"first_name": "MARY",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "005146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.