Organization Active NPI

Mark Richards Inc

  • Chiropractor
  • Wilton Manors, FL
National Provider Identifier
1407958762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8257 Issued in FL
Legal business name
MARK RICHARDS INC
Practice address
1907 Andrews Ave
Wilton Manors, FL 33311
Phone
(954) 467-1924
Fax
(954) 567-1925
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Evan Richards, DC
Title
President
Phone
(561) 715-7956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8257 FL Primary

Addresses

Primary practice location

1907 Andrews Ave
Wilton Manors, FL 33311

Mailing address

1907 Andrews Ave
Wilton Manors, FL 33311
Phone (954) 467-1924

Other names 1

  • Ft Lauderdale Pain & Injury Center Other name

National Provider Directory

National Provider Directory

Locations

1907 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 467-1924

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407958762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-467-1924",
            "fax_number": "954-567-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-467-1924",
            "fax_number": "954-567-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK RICHARDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-715-7956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft Lauderdale Pain & Injury Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.