Individual provider Active NPI

Richard Vance Chicoine, DC

  • Chiropractor
  • The Colony, TX
National Provider Identifier
1700895091
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4652TX Issued in TX
Practice address
6805 Main St Ste 410
The Colony, TX 75056-1156
Phone
(972) 625-6700
Fax
(972) 370-6700
NPI assigned
Aug 5, 2006
Last updated
May 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4652TX TX Primary

Addresses

Primary practice location

6805 Main St Ste 410
The Colony, TX 75056-1156

Mailing address

6805 Main St Ste 410
The Colony, TX 75056-1156
Phone (972) 625-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000297 TX Practitioner - Chiropractic 2163433004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6805 Main St
Suite 410
The Colony, TX 75056-1156
Phone (972) 625-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4652TXTXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicoine Chiropractic Health Centers, Inc. Chiropractor CurrentSince Oct 1, 2003 Accepting new patients

Locations

6805 Main St
Ste 410
The Colony, TX 75056
Phone (972) 625-6700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1700895091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 MAIN ST STE 410",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750561156",
            "telephone_number": "972-625-6700",
            "fax_number": "972-370-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 MAIN ST STE 410",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750561156",
            "telephone_number": "972-625-6700",
            "fax_number": "972-370-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICOINE",
        "first_name": "RICHARD",
        "middle_name": "VANCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4652TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.