Richard Thomas Carlson Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00708500 Issued in NJ

Practice address

610 5TH Ave
Egg Harbor City, NJ 08215-4038

Phone

(609) 442-1124

NPI assigned

May 9, 2013

Last updated

Mar 22, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Carlson LLCGroup PAC ID 7719104900, 6 clinicians

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.

• Richard Carlson LLC

  dba Optimal Health Chiropractic and Sport Injury

  • Chiropractor
  • Egg Harbor City, NJ
  • NPI 1629492434
  Medicare reassignment Care Compare group NPD Authorized official
• Optimal Health Chiropractic & Sports Injury

  • Chiropractor
  • Egg Harbor TWP, NJ
  • NPI 1538567607
  NPD (past) Authorized official

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1861837353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 BLACK HORSE PIKE",
            "address_2": "STE A3",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349703",
            "telephone_number": "609-442-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 5TH AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082154038",
            "telephone_number": "609-442-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00708500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larelisa Marie Ramos Bernardo, PT
• Gerald Saul Brooks, DDS
• Amie N Bruckler, LPN
• Career Opportunity Development Inc
• Career Opportunity Development, Inc.
• Chona Santos-Miranda M.D.PC (Egg Harbor Medical Center)
• Marie Cidelca
• Adrianne Ciuba
• Brielle Summer Clarke
• Competent Nursing Staff LLC

• Chiropractor in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.