D'Juan Amaud Richardson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013505 Issued in IL

Practice address

204 Fair Oaks LN
Winston Salem, NC 27127-3178

Phone

(336) 248-8402

Fax

(336) 893-9511

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Chiropractic & Wellness PLLC

  • Chiropractor
  • Winston Salem, NC
  • NPI 1225765811
  Medicare reassignment NPD Authorized official
• Wincare Chiropractic, PLLC

  • Chiropractor
  • Winston-Salem, NC
  • NPI 1699839480
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1740820992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WALNUT FOREST CT APT L",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035675",
            "telephone_number": "317-260-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 FAIR OAKS LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273178",
            "telephone_number": "336-248-8402",
            "fax_number": "336-893-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "D'JUAN",
        "middle_name": "AMAUD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiesha Richards
• Angela Richardson, PT, DPT
• Brianna S Richardson
• Camden Austin Richardson, DO
• Chad Maurice Richardson, MD
• Emmett Richardson
• Heather Leigh Richardson, FNP-C
• Kaelove Brena Richardson
• Karl Matthew Richardson, MD
• Katherine Hughes Richardson, MA

• Chiropractor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.