Chad Richard, D.C.
Individual provider Active NPI Chiropractor · Lake Charles, LA
NPI 1720174170 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1720174170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 954 (LA)
- Practice address
- Moss Bluff Chiropractic Clinic 119 Tahoe Dr
Lake Charles, LA 70611-5109 - Phone
- (337) 855-6306
- Fax
- (337) 855-7012
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Moss Bluff Chiropractic Clinic
Practice addresses (Care Compare)
119 Tahoe Dr
Lake Charles, LA 70611-5109
Phone (337) 855-6306
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110727000068 | LA | Practitioner - Chiropractic | 8224206834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moss Bluff Chiropractic Clinic | Chiropractor | Current |
Accepting new patients |
Locations
119 Tahoe Dr
Moss Bluff, LA 70611
Phone (337) 855-6306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 954 | LA | Yes |
Addresses
Primary practice location
Moss Bluff Chiropractic Clinic 119 Tahoe Dr
Lake Charles, LA 70611-5109
Mailing address
119 Tahoe Dr
PO Box 12571
Lake Charles, LA 70611-5109
Phone (337) 855-6306
Other providers in Lake Charles, LA
- Libbie Cradeur Rhodes
- Lindsey A Rhodes
- Richard H. Kent M.D. Apmc
- Aaliyah Richard
- Bridgette Richard
- Daniel Lee Richard Jr.
- Jacqueline Brown Richard
- Kevin Richard
- Russell Richard
- Stephanie Sara Richard
All providers in Lake Charles, LA · Chiropractor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.