Individual provider Active NPI

Joshua Carl Reichardt, D.C.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1487900882
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32328 Issued in CA
Practice address
203 Grove St
Roseville, CA 95678-1519
Phone
(916) 783-2348
Fax
(855) 783-2372
NPI assigned
Aug 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32328 CA Primary

Addresses

Primary practice location

203 Grove St
Roseville, CA 95678-1519

Mailing address

203 Grove St
Roseville, CA 95678-1519
Phone (916) 783-2348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000377 CA Practitioner - Chiropractic 1658529615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reichardt and McHale Chiropractic Inc 2 clinicians

Practice addresses (Care Compare)

203 Grove St
Roseville, CA 95678-1519
Phone (916) 783-2348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32328CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reichardt & McHale Chiropractic Inc. Chiropractor CurrentSince Feb 13, 2021 Accepting new patients
Robin Alexander. Lafayette Chiropractic Group Chiropractor Past Accepting new patients

Locations

203 Grove St
Roseville, CA 95678
Phone (916) 783-2348

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1487900882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781519",
            "telephone_number": "916-783-2348",
            "fax_number": "855-783-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781519",
            "telephone_number": "916-783-2348",
            "fax_number": "855-783-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARDT",
        "first_name": "JOSHUA",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.