Active NPI
Richardson Chiropractic Group
- Chiropractor
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1136
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1536067 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | chiroump@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
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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.