Active NPI
Shari Lee Richard, DC
- Chiropractor
- Manchester, CT
National Provider Identifier
1962537837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001239
- Practice address
- 352R Middle Tpke W
Manchester, CT 06040-3824 - Phone
- (860) 290-1598
- Fax
- (860) 643-1603
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- 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 | 001239 | CT | Primary |
Addresses
Primary practice location
352R Middle Tpke W
Manchester, CT 06040-3824
Mailing address
PO Box 1206
South Windsor, CT 06074-7206
Phone (860) 290-1598
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001239 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962537837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1206",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060747206",
"telephone_number": "860-290-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352R MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403824",
"telephone_number": "860-290-1598",
"fax_number": "860-643-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "SHARI",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.