Active NPI
Jason D Richer
- Chiropractor
- Clive, IA
National Provider Identifier
1396850343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06894
- Practice address
- 13435 University Ave
150
Clive, IA 50325-8249 - Phone
- (515) 226-2155
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 06894 | IA | Primary |
Addresses
Primary practice location
13435 University Ave
150
Clive, IA 50325-8249
Mailing address
6003 Dogwood Cir
Johnston, IA 50131-1622
Phone (515) 401-2303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220408002119 | IA | Practitioner - Chiropractic | 4385030857 | Practice locations: Clive, IA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Wellness Center, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Clive, IA
- NPI 1073881884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396850343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6003 DOGWOOD CIR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311622",
"telephone_number": "515-401-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13435 UNIVERSITY AVE",
"address_2": "150",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258249",
"telephone_number": "515-226-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHER",
"first_name": "JASON",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.