Richard Michael Edwards, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC2069 Issued in NM

Practice address

2110 Sullivan Ave # 5
Farmington, NM 87401-4324

Phone

(505) 444-0856

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1558375436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SULLIVAN AVE # 5",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014324",
            "telephone_number": "505-444-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 SULLIVAN AVE # 5",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014324",
            "telephone_number": "505-444-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7709",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eberhart Home Health Inc
• Eberhart Sleep Diagnostics Inc
• Jack Henry Eberhart, MD
• Danette Eddleman, RDH
• Pamela Beth Edwards
• Donatus M. Egbonim, MD
• Ehc Farmington LLC
• Mia K Eisenfeld
• Tasheena Ellison
• Charlotte Emery, RN

• Chiropractor in Farmington, NM
• Providers in Farmington, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.