Active NPI
Richard Wayne Bass, D.C.
- Chiropractor
- Winter Garden, FL
National Provider Identifier
1508993965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9257
- Practice address
- 13355 W Colonial Dr
Winter Garden, FL 34787-3970 - Phone
- (407) 877-7100
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | CH9257 | FL | Primary |
Addresses
Primary practice location
13355 W Colonial Dr
Winter Garden, FL 34787-3970
Mailing address
1583 E Silver Star Rd
#131
Ocoee, FL 34761
Phone (770) 316-7191
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 |
|---|---|---|---|
| CH9257 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1508993965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 E SILVER STAR RD",
"address_2": "#131",
"city": "OCOEE",
"state": "FL",
"postal_code": "34761",
"telephone_number": "770-316-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13355 W COLONIAL DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873970",
"telephone_number": "407-877-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.