Individual provider Active NPI

Lance Garrett Richardson, DC

  • Chiropractor
  • Mena, AR
National Provider Identifier
1821381781
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16049 Issued in AR
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
233571718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119001475 AR Practitioner - Chiropractic 8325212103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

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

LicenseStateTypeSpecialty
11764TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rich Mountain Chiropractic, PLLC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients
Brandon Fitch, P.a. Chiropractor PastSince Jan 30, 2013 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.

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

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.

Verify at the official NPI Registry.