Active NPI
Paul Andrew Richetto, D.C.
- Chiropractor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7873
- Practice address
- 2222 W Dunlap Ave Ste 190
Phoenix, AZ 85021-2800 - Phone
- (602) 584-9661
- Fax
- (720) 925-5897
- NPI assigned
- Nov 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7873 | AZ | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 4562 | AZ |
Addresses
Primary practice location
2222 W Dunlap Ave Ste 190
Phoenix, AZ 85021-2800
Mailing address
5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599
Other practice location 1
2163 E Baseline Rd
Suite 105
Tempe, AZ 85283-1541
Phone (480) 775-3508
Other names 1
- P. Andrew Richetto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4562 | AZ | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Pain Center | Chiropractor | Current | Accepting new patients |
| Advanced Spine and Pain LLC | Chiropractor | Past | Accepting new patients |
| Mountain View Pain Specialists | Past | Accepting new patients |
Locations
6622 N 91st Ave
Ste 230
Glendale, AZ 85305
Phone (602) 325-2024
2222 W Dunlap Ave
Ste 190
Phoenix, AZ 85021
Phone (602) 325-2024
5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111
Interoperability endpoints
- paul.richetto@asapl-az.direct.office.nextgen.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1356950653
Chiropractor
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lone Tree, CO
- NPI 1912403544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1467632760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 DTC PKWY STE 1130",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113038",
"telephone_number": "720-749-5599",
"fax_number": "720-925-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W DUNLAP AVE STE 190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212800",
"telephone_number": "602-584-9661",
"fax_number": "720-925-5897"
}
],
"practiceLocations": [
{
"address_1": "2163 E Baseline Rd",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852831541",
"country_code": "US",
"telephone_number": "480-775-3508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHETTO",
"first_name": "PAUL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-05",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7873",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "4562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "P.",
"last_name": "RICHETTO",
"middle_name": "ANDREW",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.