Richard L Puckett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8264 Issued in TX

Practice address

705 W Bailey Boswell Rd Ste 200
Saginaw, TX 76179-1020

Phone

(817) 306-8585

Fax

(817) 306-8589

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic & Rehab Centers, Inc

  dba Chiropractic & Rehab of Saginaw

  • Chiropractor
  • Saginaw, TX
  • NPI 1538483466
  Medicare reassignment NPD Authorized official
• Collective Chiropractic and Rehab Inc

  dba HealthSource of Roanoke

  • Chiropractor
  • Roanoke, TX
  • NPI 1376815597
  NPD Authorized official
• PRP Chiropractic Services

  dba HealthSource of Baytown

  • Chiropractor
  • Baytown, TX
  • NPI 1356782023
  NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1508953118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W BAILEY BOSWELL RD STE 200",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791020",
            "telephone_number": "817-306-8585",
            "fax_number": "817-306-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W BAILEY BOSWELL RD STE 200",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791020",
            "telephone_number": "817-306-8585",
            "fax_number": "817-306-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Pham, PHARMD
• Kalyn Phan, DMD
• Podiatric Medical Partners of Texas, PA (Ankle and Foot Institute of Texas)
• Martyna Ponce
• Courtney Diane Prince, DC
• Edwin Carlos Ramos, CSFA
• Heather Reagin, DO
• Real Smiles, LLC (Now Orthodontics)
• Ronald Richard Redden, ATC, LAT
• Jason Todd Redler, D.C.

• Chiropractor in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.