Richmond Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001902 Issued in VA

Legal business name

RICHMOND CHIROPRACTIC, INC.

Practice address

535 Southlake Blvd
North Chesterfield, VA 23236-3042

Phone

(804) 897-6130

Fax

(804) 924-2168

NPI assigned

Jan 18, 2007

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas F Ambrose, DC, FIAMANPI 1386716264

Title

Owner

Phone

(804) 897-6130

Specialties & licenses 1

Addresses

Other names 1

• Ambrose Chiropractic Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas F Ambrose, DC, FIAMA

  • Internist Chiropractor
  • North Chesterfield, VA
  • NPI 1386716264
  Medicare reassignment NPD Authorized official
• Jacob Goedken, D.C.

  • Chiropractor
  • North Chesterfield, VA
  • NPI 1225451503
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1639221500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SOUTHLAKE BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363042",
            "telephone_number": "804-897-6130",
            "fax_number": "804-924-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SOUTHLAKE BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363042",
            "telephone_number": "804-897-6130",
            "fax_number": "804-924-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-897-6130",
        "authorized_official_credential": "DC, FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambrose Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Richmond Area Clinical Services
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• Richmond Flyer Taxi Inc
• Richmond Flyer Transpotation Inc.
• Richmond Gastroenterology Associates, Inc.
• Richmond Respiratory & Medical Supply Inc

• Chiropractor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.