Individual provider Active NPI

Richard L Ford, D.C.

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1760534929
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34884 Issued in CA
Practice address
7758 Haywood PL
Rancho Cucamonga, CA 91730-0365
Phone
(385) 216-6571
NPI assigned
Jan 17, 2007
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34884 CA Primary

Addresses

Primary practice location

7758 Haywood PL
Rancho Cucamonga, CA 91730-0365

Mailing address

7758 Haywood PL
Rancho Cucamonga, CA 91730-0365
Phone (385) 216-6571

Other practice location 1

1014 W Gentile St Ste D
Layton, UT 84041-4646
Phone (801) 546-0114

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
Ford Family Chiropractic and Rejuvenation Center Chiropractor CurrentSince Oct 8, 2013 Accepting new patients

Organizations & group practices 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1760534929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 HAYWOOD PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300365",
            "telephone_number": "385-216-6571",
            "fax_number": "801-546-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 HAYWOOD PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300365",
            "telephone_number": "385-216-6571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 W Gentile St Ste D",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840414646",
            "country_code": "US",
            "telephone_number": "801-546-0114",
            "fax_number": "801-546-6915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.