Active NPI
Richard Joseph Fontaine III, D.C,
- Chiropractor
- Williston, FL
National Provider Identifier
1851660617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10474
- Practice address
- 510 SW 5TH Ter # B
Williston, FL 32696-2548 - Phone
- (352) 528-5433
- NPI assigned
- Dec 23, 2011
- Last updated
- Jul 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 | CH 10474 | FL | Primary |
Addresses
Primary practice location
510 SW 5TH Ter # B
Williston, FL 32696-2548
Mailing address
510 SW 5TH Ter # B
Williston, FL 32696-2548
Phone (352) 528-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
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)
510 SW 5TH Ter
Suite B
Williston, FL 32696-2548
Phone (352) 528-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Wellness LLC | Chiropractor | Current | Accepting new patients |
| David Kreinbrook, PA | Chiropractor | Past | Accepting new patients |
Locations
510 SW 5th Ter
#B
Williston, FL 32696
Phone (352) 528-5433
Organizations & group practices 2
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.
-
- Chiropractor
- Williston, FL
- NPI 1992483010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688774400000",
"number": "1851660617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SW 5TH TER # B",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326962548",
"telephone_number": "352-528-5433",
"fax_number": "352-732-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SW 5TH TER # B",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326962548",
"telephone_number": "352-528-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.