Active NPI
Richard Gregory Fourzon, D.C.
- Chiropractor
- Santa Rosa, CA
National Provider Identifier
1609086560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0184090
- Practice address
- 585 West College Avenue
Suite: B
Santa Rosa, CA 95401-5060 - Phone
- (707) 579-2234
- Fax
- (707) 579-6001
- NPI assigned
- May 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 18409 | CA | |
| Chiropractor | 111N00000X | DC0184090 | CA | Primary |
Addresses
Primary practice location
585 West College Avenue
Suite: B
Santa Rosa, CA 95401-5060
Mailing address
585 West College Avenue
Suite: B
Santa Rosa, CA 95401-5060
Phone (707) 579-2234
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0184090 | CA | MD | Chiropractor |
| 18409 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1609086560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 WEST COLLEGE AVENUE",
"address_2": "SUITE: B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015060",
"telephone_number": "707-579-2234",
"fax_number": "707-579-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 WEST COLLEGE AVENUE",
"address_2": "SUITE: B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015060",
"telephone_number": "707-579-2234",
"fax_number": "707-579-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURZON",
"first_name": "RICHARD",
"middle_name": "GREGORY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18409",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0184090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.