Individual provider Active NPI

Richard Edwin Landeck, D.C., C.AD.

  • Chiropractor
  • The Villages, FL
National Provider Identifier
1891763116
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005652 Issued in FL
Practice address
631 Allenwood Loop
House Calls Only Not at This Location
The Villages, FL 32162-1004
Phone
(352) 552-4163
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005652 FL Primary

Addresses

Primary practice location

631 Allenwood Loop
House Calls Only Not at This Location
The Villages, FL 32162-1004

Mailing address

631 Allenwood Loop
The Villages, FL 32162-1004
Phone (352) 552-4163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005652FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1891763116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 ALLENWOOD LOOP",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621004",
            "telephone_number": "352-552-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 ALLENWOOD LOOP",
            "address_2": "HOUSE CALLS ONLY NOT AT THIS LOCATION",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621004",
            "telephone_number": "352-552-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDECK",
        "first_name": "RICHARD",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.C., C.AD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.