Active NPI
Terryl J Richardson, DC
- Chiropractor
- Tacoma, WA
National Provider Identifier
1740297597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001528
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350000483 | Other | WA | RAILROAD MEDICARE |
| R13361 | Other | WA | PRIVATE INSURANCE |
| 606549100 | Other | WA | DEPT OF LABOR - OWCP |
| 17087 | Other | WA | DEPT. 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Chiropractic | Chiropractor | Current | Accepting new patients |
| Brent a Linse PS | Chiropractor | Past | 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.
-
- Chiropractor
- Tacoma, WA
- NPI 1386216745
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.