Organization Active NPI

Robert M Richards, D.C., P.C.

Doing business as Family Chiropractic Center

  • Chiropractor
  • Coos Bay, OR
National Provider Identifier
1619376779
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2500 Issued in OR
Legal business name
ROBERT M RICHARDS, D.C., P.C.
Doing business as
Family Chiropractic Center
Practice address
790 Anderson Ave
Coos Bay, OR 97420-4627
Phone
(541) 808-0999
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Robert Michael Richards, DCNPI 1841355252
Title
Owner
Phone
(541) 808-0999

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 2500 OR Primary

Addresses

Primary practice location

790 Anderson Ave
Coos Bay, OR 97420-4627

Mailing address

790 Anderson Ave
Coos Bay, OR 97420-4627
Phone (541) 808-0999

Other names 1

  • Family Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818002832 OR Part B Supplier - Clinic/Group Practice 6901023738 Receives reassigned benefits from 1 practitioner
Practice locations: Coos Bay, OR

National Provider Directory

National Provider Directory

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": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1619376779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ANDERSON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204627",
            "telephone_number": "541-808-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ANDERSON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204627",
            "telephone_number": "541-808-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M RICHARDS, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-808-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.