Active NPI
John Richardson
- Chiropractor
- Walkertown, NC
National Provider Identifier
1467049874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4612
- Practice address
- 3067 Walkertown View Dr
Walkertown, NC 27051-9815 - Phone
- (843) 479-6102
- NPI assigned
- Dec 31, 2020
- Last updated
- May 1, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 4612 | SC | Primary |
Addresses
Primary practice location
3067 Walkertown View Dr
Walkertown, NC 27051-9815
Mailing address
971 Peachtree Meadows Circle
Kernersville, NC 27284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4612 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Align Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Barbee Clinics Integrative Healthcare, PA | Chiropractor | Past | Accepting new patients |
| Palmetto Wellness & Injury Center of Bennettsville LLC | Chiropractor | Past | Accepting new patients |
| Carolina Spine Center PA | Past | Accepting new patients |
Locations
3067 Walkertown View Dr
Walkertown, NC 27051
Phone (336) 595-3211
Organizations & group practices 4
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
- Walkertown, NC
- NPI 1992409288
-
- Chiropractor
- Pilot Mountain, NC
- NPI 1114249570
-
- Physical Medicine & Rehabilitation Physician
- Cary, NC
- NPI 1396271508
-
- Family Medicine Physician
- Bennettsville, SC
- NPI 1124240999
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1467049874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 PEACHTREE MEADOWS CIRCLE",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "27284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3067 WALKERTOWN VIEW DR",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519815",
"telephone_number": "843-479-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-31",
"last_updated": "2023-05-01",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walkertown, NC
- Novant Health Medical Group, LLC (Novant Health Forsyth Pediatrics)
- Courtney Laura Pegram, RPH
- Natalie Phe, RRT
- Wesley F Phillips, MD
- Cassandra Braddock Pope, PHARMD
- Jeremiah Timothy Roark, PHARMD. RPH.
- Deana Smalls, PHARM.D.
- Brian Scott Smith, B.S. PHARM-D
- Laura Blackburn Smith, PHARMD, MSCR
- Spencer Counseling and Wellness, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.