Active NPI
Lance Garrett Richardson, DC
- Chiropractor
- Mena, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16049
- Practice address
- 601 Highway 71 N Ste W
Mena, AR 71953-4394 - Phone
- (479) 385-9693
- Fax
- (844) 222-7880
- NPI assigned
- May 25, 2011
- Last updated
- Oct 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16049 | AR | Primary |
Addresses
Primary practice location
601 Highway 71 N Ste W
Mena, AR 71953-4394
Mailing address
PO Box 1224
Mena, AR 71953-1224
Phone (479) 385-9693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233571718 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321
601 Hwy 71 N
Suite W
Mena, AR 71953-4394
Phone (479) 365-9660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11764 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rich Mountain Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Brandon Fitch, P.a. | Chiropractor | Past | Accepting new patients |
| Gegel Anesthesia PC | Past | Accepting new patients |
Locations
601 Highway 71 N
Ste W
Mena, AR 71953
Phone (479) 365-9660
Organizations & group practices 4
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.
-
dba Rich Mountain Chiropractic
- Chiropractor
- Mena, AR
- NPI 1366108235
-
- Physical Therapist
- Alma, AR
- NPI 1518936418
-
- Certified Registered Nurse Anesthetist
- San Antonio, TX
- NPI 1710379003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1821381781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1224",
"city": "MENA",
"state": "AR",
"postal_code": "719531224",
"telephone_number": "479-385-9693",
"fax_number": "844-222-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 71 N STE W",
"city": "MENA",
"state": "AR",
"postal_code": "719534394",
"telephone_number": "479-385-9693",
"fax_number": "844-222-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "LANCE",
"middle_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "16049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "233571718",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mena, AR
- Regina Rowland Speech Therapy Services, Inc
- Bradley Renick
- Rich Mountain Chiropractic, PLLC (Rich Mountain Chiropractic)
- Rich Mountain Womens Clinic
- Rich Mountian Family Medical Clinic
- Katie Roberts
- Carlos Barrett Rocha, M.D.
- Ryann Katherine Roles, OD
- Ruby Elizabeth Rosenthal, PT
- Stephanie Rostollan, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.