Organization Active NPI

Rich Mountain Chiropractic, PLLC

Doing business as Rich Mountain Chiropractic

  • Chiropractor
  • Mena, AR
National Provider Identifier
1366108235
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RICH MOUNTAIN CHIROPRACTIC, PLLC
Doing business as
Rich Mountain Chiropractic
Practice address
601 Highway 71 N Ste W
Mena, AR 71953-4394
Phone
(479) 365-9660
Fax
(844) 222-7880
NPI assigned
Nov 15, 2021
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Lance Garrett Richardson, DCNPI 1821381781
Title
Owner
Phone
(479) 385-9693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

601 Highway 71 N Ste W
Mena, AR 71953-4394

Mailing address

PO Box 1224
Mena, AR 71953-1224
Phone (479) 365-9660

Other names 1

  • Rich Mountain Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000359 AR Part B Supplier - Clinic/Group Practice 8729479134 Receives reassigned benefits from 1 practitioner
Practice locations: Mena, AR

National Provider Directory

National Provider Directory

Locations

601 Highway 71 N
Ste W
Mena, AR 71953
Phone (479) 365-9660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1366108235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1224",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531224",
            "telephone_number": "479-365-9660",
            "fax_number": "844-222-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 71 N STE W",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534394",
            "telephone_number": "479-365-9660",
            "fax_number": "844-222-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICH MOUNTAIN CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-385-9693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rich Mountain Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rich Mountain Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.