Organization Active NPI

Ricardo Lerma DC PLLC

  • Chiropractor
  • Cave Creek, AZ
National Provider Identifier
1740456987
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7895 Issued in AZ
Legal business name
RICARDO LERMA DC PLLC
Practice address
28230 N Tatum Blvd
#C-3
Cave Creek, AZ 85331-6342
Phone
(480) 656-0263
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Candi M Reese
Title
Office Manager
Phone
(480) 656-0263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7895 AZ Primary

Addresses

Primary practice location

28230 N Tatum Blvd
#C-3
Cave Creek, AZ 85331-6342

Mailing address

28230 N Tatum Blvd
#C-3
Cave Creek, AZ 85331-6342
Phone (480) 656-0263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000562 AZ Part B Supplier - Clinic/Group Practice 4284704529 Receives reassigned benefits from 1 practitioner
Practice locations: Cave Creek, AZ

National Provider Directory

National Provider Directory

Locations

28255 N Tatum Blvd
#106
Cave Creek, AZ 85331
Phone (480) 656-0263

28255 N Tatum Blvd
Ste 106
Cave Creek, AZ 85331
Phone (480) 656-0263

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1740456987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28230 N TATUM BLVD",
            "address_2": "#C-3",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316342",
            "telephone_number": "480-656-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28230 N TATUM BLVD",
            "address_2": "#C-3",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316342",
            "telephone_number": "480-656-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO LERMA DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "CANDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-656-0263"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.