Mark Richert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001598 Issued in IN

Practice address

610 Professional Park Dr
New Haven, IN 46774-1995

Phone

(260) 749-2225

NPI assigned

Jul 7, 2005

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richert Chiropractic Inc

  dba Richert Chiropractic Clinic

  • Chiropractor
  • New Haven, IN
  • NPI 1174710677
  Medicare reassignment NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1811994684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16134 LINCOLN HWY E",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467749628",
            "telephone_number": "260-249-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL PARK DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741995",
            "telephone_number": "260-749-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHERT",
        "first_name": "MARK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001598",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "81000060A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Panyard, PHARMD
• Mary Payne
• Pulaski Memorial Hospital (Majestic Care of New Haven)
• RCG Indiana, L.L.C. (Fresenius Medical Care Canal Dialysis)
• Richert Chiropractic Inc (Richert Chiropractic Clinic)
• Deni Nicole Roller
• Barbara L Rondot, NP
• Michael S. Rumple, M.D.
• Ann M Samra-Theurer, BSDH, OMT
• Tyann Nicole Sanchez, DOULA

• Chiropractor in New Haven, IN
• Providers in New Haven, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.