Individual provider Active NPI

Richard Dean Walford, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1912074378
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2368 Issued in CO
Practice address
1410 S 21St Street
Colorado Springs, CO 80904
Phone
(719) 632-4225
Fax
(719) 632-3732
NPI assigned
Nov 29, 2006
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2368 CO Primary

Addresses

Primary practice location

1410 S 21St Street
Colorado Springs, CO 80904

Mailing address

1410 S 21St Street
Colorado Springs, CO 80904
Phone (719) 632-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000459 CO Practitioner - ChiropracticPractitioner - Sports Medicine 4082674866

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1410 S 21St St
Colorado Springs, CO 80904-4204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Elevated PC Chiropractor PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1912074378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S 21ST STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "719-632-4225",
            "fax_number": "719-632-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S 21ST STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "719-632-4225",
            "fax_number": "719-632-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALFORD",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.