Individual provider Active NPI

Gregory Phillip Richardson, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1386682508
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010866 Issued in NY
Practice address
564 Ridge Rd E
Suite 209
Rochester, NY 14621-1233
Phone
(585) 544-0695
Fax
(585) 544-8029
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010866 NY Primary

Addresses

Primary practice location

564 Ridge Rd E
Suite 209
Rochester, NY 14621-1233

Mailing address

564 Ridge Rd E
Suite 209
Rochester, NY 14621-1233
Phone (585) 544-0695

Other identifiers 2

IdentifierTypeStateIssuer
7340610OtherNYAETNA PROVIDER NUMBER
139013ANOtherNYPREFERRED CARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010866NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386682508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 RIDGE RD E",
            "address_2": "SUITE 209",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211233",
            "telephone_number": "585-544-0695",
            "fax_number": "585-544-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 RIDGE RD E",
            "address_2": "SUITE 209",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211233",
            "telephone_number": "585-544-0695",
            "fax_number": "585-544-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GREGORY",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7340610",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE NUMBER",
            "identifier": "139013AN",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.