Active NPI
Richard L Sederberg, DC
- Chiropractor
- Batesville, AR
National Provider Identifier
1932114501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1077
- Practice address
- 2121 Harrison St
Batesville, AR 72501-7416 - Phone
- (870) 793-7370
- Fax
- (870) 793-7370
- NPI assigned
- Jul 30, 2006
- 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 | 1077 | AR | Primary |
Addresses
Primary practice location
2121 Harrison St
Batesville, AR 72501-7416
Mailing address
2121 Harrison St
Batesville, AR 72501-7416
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932114501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HARRISON ST",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 HARRISON ST",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017416",
"telephone_number": "870-793-7370",
"fax_number": "870-793-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDERBERG",
"first_name": "RICHARD",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.