Individual provider Active NPI

Terryl J Richardson, DC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1740297597
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001528 Issued in WA
Practice address
5216 72ND St E
Tacoma, WA 98443-2722
Phone
(253) 537-8181
Fax
(253) 537-8181
NPI assigned
Aug 2, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001528 WA Primary

Addresses

Primary practice location

5216 72ND St E
Tacoma, WA 98443-2722

Mailing address

PO Box 146
Puyallup, WA 98371-0015
Phone (253) 537-8181

Other identifiers 4

IdentifierTypeStateIssuer
350000483OtherWARAILROAD MEDICARE
R13361OtherWAPRIVATE INSURANCE
606549100OtherWADEPT OF LABOR - OWCP
17087OtherWADEPT. OF LABOR AND INDUST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Chiropractic Chiropractor CurrentSince Jul 25, 2021 Accepting new patients
Brent a Linse PS Chiropractor PastSince Sep 12, 2021 Accepting new patients

Locations

5216 72nd St E
Tacoma, WA 98443
Phone (253) 380-3012

Organizations & group practices 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1740297597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983710015",
            "telephone_number": "253-537-8181",
            "fax_number": "253-537-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 72ND ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432722",
            "telephone_number": "253-537-8181",
            "fax_number": "253-537-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TERRYL",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350000483",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "R13361",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - OWCP",
            "identifier": "606549100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUST",
            "identifier": "17087",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.