Individual provider Active NPI

Richard D Lacey, D.C.

  • Chiropractor
  • Pawleys Island, SC
National Provider Identifier
1962450403
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
982 Issued in SC
Practice address
9428 Ocean Hwy
Suite 1
Pawleys Island, SC 29585-8259
Phone
(843) 237-1919
Fax
(843) 237-7694
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 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 982 SC Primary

Addresses

Primary practice location

9428 Ocean Hwy
Suite 1
Pawleys Island, SC 29585-8259

Mailing address

PO Box 2009
Pawleys Island, SC 29585-2009
Phone (843) 237-1919

Other identifiers 1

IdentifierTypeStateIssuer
CH0982MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000490 SC Practitioner - Chiropractic 4880724798 Receives reassigned benefits from 1 practitioner
Practice locations: Pawleys Island, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9428 Ocean Hwy
Suite 1
Pawleys Island, SC 29585-8259

9428 Ocean Hwy 1
Pawleys Island, SC 29585-8259
Phone (843) 237-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Chiropractic Clinic Chiropractor PastSince Dec 22, 2024 Accepting new patients
Lacey Chiropractic Clinic Chiropractor PastSince Apr 2, 1993 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1962450403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295852009",
            "telephone_number": "843-237-1919",
            "fax_number": "843-237-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 OCEAN HWY",
            "address_2": "SUITE 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858259",
            "telephone_number": "843-237-1919",
            "fax_number": "843-237-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0982",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawleys Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.