Individual provider Active NPI

Richard Wayne Pierce Jr., DC

  • Chiropractor
  • Discovery Bay, CA
National Provider Identifier
1396708640
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28420 Issued in CA
Practice address
2489 Discovery Bay Boulevard
Suite 402
Discovery Bay, CA 94514
Phone
(925) 634-2400
Fax
(925) 634-2493
NPI assigned
Apr 8, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28420 CA Primary

Addresses

Primary practice location

2489 Discovery Bay Boulevard
Suite 402
Discovery Bay, CA 94514

Mailing address

2489 Discovery Bay Blvd
Suite 402
Discovery Bay, CA 94505-1011
Phone (925) 634-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060622000217 CA Practitioner - Chiropractic 1759393309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2489 Discovery Bay Blvd
Discovery Bay, CA 94505-1008
Phone (925) 634-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pierce Chiropractic Group Inc Chiropractor CurrentSince Oct 26, 2010 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

2489 Discovery Bay Blvd
Ste 402
Discovery Bay, CA 94505
Phone (925) 364-2400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1396708640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 DISCOVERY BAY BLVD",
            "address_2": "SUITE 402",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945051011",
            "telephone_number": "925-634-2400",
            "fax_number": "925-634-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DISCOVERY BAY BOULEVARD",
            "address_2": "SUITE 402",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "94514",
            "telephone_number": "925-634-2400",
            "fax_number": "925-634-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Discovery Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.