Individual provider Active NPI

Richard King, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1629423942
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11754 Issued in FL
Practice address
2309 W Dr Martin Luther King Jr Blvd Ste 5
Tampa, FL 33607-6439
Phone
(813) 624-6947
Fax
(813) 930-5963
NPI assigned
Apr 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11754 FL Primary

Addresses

Primary practice location

2309 W Dr Martin Luther King Jr Blvd Ste 5
Tampa, FL 33607-6439

Mailing address

2309 W Dr Martin Luther King Jr Blvd Ste 5
Tampa, FL 33607-6439
Phone (813) 624-6947

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714001841 FL Practitioner - Chiropractic 4284094830 Practice locations: Riverview, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10732 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone (321) 431-2682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11754FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
King Chiropractic LLC Chiropractor Current Accepting new patients

Locations

2309 W Mlk Blvd
Ste 5
Tampa, FL 33607
Phone (813) 374-8986

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1629423942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W DR MARTIN LUTHER KING JR BLVD STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076439",
            "telephone_number": "813-624-6947",
            "fax_number": "813-930-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W DR MARTIN LUTHER KING JR BLVD STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076439",
            "telephone_number": "813-624-6947",
            "fax_number": "813-930-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.