Organization Active NPI

Richmond Chiropractic Inc.

  • Chiropractor
  • Fountain Valley, CA
National Provider Identifier
1558616631
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RICHMOND CHIROPRACTIC INC.
Practice address
9092 Talbert Ave Ste 9
Fountain Valley, CA 92708-4452
Phone
(714) 593-4775
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Daniel P Richmond, DCNPI 1992723076
Title
President
Phone
(714) 593-4775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9092 Talbert Ave Ste 9
Fountain Valley, CA 92708-4452

Mailing address

9092 Talbert Ave Ste 9
Fountain Valley, CA 92708-4452
Phone (714) 593-4775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121126000090 CA Part B Supplier - Clinic/Group Practice 1153572128 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

9092 Talbert Ave
Ste 9
Fountain Valley, CA 92708
Phone (714) 593-4775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1558616631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE STE 9",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084452",
            "telephone_number": "714-593-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE STE 9",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084452",
            "telephone_number": "714-593-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-593-4775",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.