Organization Active NPI

Rickards Chiropractic, Inc.

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1639130677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 12519 Issued in CA
Legal business name
RICKARDS CHIROPRACTIC, INC.
Practice address
1111 E Washington Ave
Suite D
Escondido, CA 92025-2226
Phone
(760) 745-1511
Fax
(760) 735-5885
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond Robert Rickards, D.C.NPI 1518159342
Title
President of Corp./Doctor
Phone
(760) 745-1511

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 DC 12519 CA Primary

Addresses

Primary practice location

1111 E Washington Ave
Suite D
Escondido, CA 92025-2226

Mailing address

1111 E Washington Ave
Suite D
Escondido, CA 92025-2226
Phone (760) 745-1511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000672 CA Part B Supplier - Clinic/Group Practice 1456440361 Receives reassigned benefits from 1 practitioner
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Locations

1111 E Washington Ave
Ste D
Escondido, CA 92025
Phone (619) 745-1511

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639130677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E WASHINGTON AVE",
            "address_2": "SUITE D",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252226",
            "telephone_number": "760-745-1511",
            "fax_number": "760-735-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E WASHINGTON AVE",
            "address_2": "SUITE D",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252226",
            "telephone_number": "760-745-1511",
            "fax_number": "760-735-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKARDS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICKARDS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT OF CORP./DOCTOR",
        "authorized_official_telephone_number": "760-745-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 12519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.