Organization Active NPI

Richardson Chiropractic Group

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1790826667
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1136 Issued in LA
Legal business name
RICHARDSON CHIROPRACTIC GROUP
Practice address
1304 Bertrand Dr Ste F5
Lafayette, LA 70506-9106
Phone
(373) 234-4987
Fax
(373) 234-5755
NPI assigned
Feb 12, 2007
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Tracy M Richardson, D.C.NPI 1275592438
Title
President
Phone
(337) 234-4987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1136 LA Primary

Addresses

Primary practice location

1304 Bertrand Dr Ste F5
Lafayette, LA 70506-9106

Mailing address

1304 Bertrand Dr Ste F5
Lafayette, LA 70506-9106
Phone (337) 234-4987

Other identifiers 1

IdentifierTypeStateIssuer
1536067MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL chiroump@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000022 LA Part B Supplier - Clinic/Group Practice 6406981141 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

107 S College Rd
Lafayette, LA 70503
Phone (337) 234-4987

1304 Bertrand Dr
Ste D4
Lafayette, LA 70506
Phone (337) 234-4987

1304 Bertrand Dr
Ste F5
Lafayette, LA 70506
Phone (337) 234-4987

Practitioners & affiliated clinicians

Practitioners 8

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1790826667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE F5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069106",
            "telephone_number": "337-234-4987",
            "fax_number": "337-234-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE F5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069106",
            "telephone_number": "373-234-4987",
            "fax_number": "373-234-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-234-4987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1536067",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chiroump@gmail.com",
            "affiliation": "N",
            "address_1": "1304 Bertrand Dr Ste F5",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705069106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.