Loren W. Richie, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008580 Issued in IL

Practice address

2205 Wabash Ave
Suite 107
Springfield, IL 62704-5354

Phone

(217) 698-2779

Fax

(217) 698-7504

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GNR Chiropractic LLCGroup PAC ID 9739441718, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• GNR Chiropractic LLC

  dba Westside Pain Clinic

  • Chiropractor
  • Springfield, IL
  • NPI 1134637382
  Medicare reassignment Care Compare group Authorized official
• Richie Chiropractic Health Centre

  • Chiropractor
  • Springfield, IL
  • NPI 1063885895
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1356360275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WABASH AVE",
            "address_2": "SUITE 107",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045354",
            "telephone_number": "217-698-2779",
            "fax_number": "217-698-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WABASH AVE",
            "address_2": "SUITE 107",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045354",
            "telephone_number": "217-698-2779",
            "fax_number": "217-698-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHIE",
        "first_name": "LOREN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00344945",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Marie Edge Richardson, PH.D.
• Omarr Richardson
• Richie Chiropractic Health Centre
• Richie Chiropractic PC
• Anna M Richie, M.D.
• Rickard Road Dental Group (Cummins Dental Group)
• Ramon Dariel Ricketts, MBBS
• Samantha Leigh Rickman, RDH
• Lorelai Riday, RBT
• Karen L Ridenour, F.N.P., BC

• Chiropractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.