Individual provider Active NPI

Joshua Aldwyn Richardson, DC

  • Chiropractor
  • Seminole, FL
National Provider Identifier
1477122307
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13589 Issued in FL
Practice address
8400 113TH St
Seminole, FL 33772-4131
Phone
(727) 201-4549
Fax
(866) 265-0201
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13589 FL Primary

Addresses

Primary practice location

8400 113TH St
Seminole, FL 33772-4131

Mailing address

8400 113TH St
Seminole, FL 33772-4131
Phone (727) 201-4549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714002265 FL Practitioner - Chiropractic 2466854310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crai SpinesGroup PAC ID 3870953110, 4 clinicians

Practice addresses (Care Compare)

8400 113TH St
Seminole, FL 33772-4131
Phone (727) 201-4549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13589FLMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Crai Spines Chiropractor CurrentSince Jun 14, 2023 Accepting new patients
Brett M Herrington, DC, PA Chiropractor CurrentSince Jun 28, 2021 Accepting new patients

Locations

8400 113th St
Seminole, FL 33772
Phone (727) 201-4549

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1477122307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724131",
            "telephone_number": "727-201-4549",
            "fax_number": "866-265-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724131",
            "telephone_number": "727-201-4549",
            "fax_number": "866-265-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOSHUA",
        "middle_name": "ALDWYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.