Active NPI
William Nelson Ritchie III, DC
- Chiropractor
- Woodlyn, PA
National Provider Identifier
1982636221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004057L
- Practice address
- 192 Fairview Road
Woodlyn, PA 19094-1705 - Phone
- (610) 833-2580
- Fax
- (610) 833-5199
- NPI assigned
- Jul 7, 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 | DC004057L | PA | Primary |
Addresses
Primary practice location
192 Fairview Road
Woodlyn, PA 19094-1705
Mailing address
192 Fairview Road
PO Box 70
Woodlyn, PA 19094-1705
Phone (610) 833-2580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0211216000 | Other | INDEPENDENCE BLUE CROSS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004057L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982636221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 FAIRVIEW ROAD",
"address_2": "PO BOX 70",
"city": "WOODLYN",
"state": "PA",
"postal_code": "190941705",
"telephone_number": "610-833-2580",
"fax_number": "610-833-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 FAIRVIEW ROAD",
"city": "WOODLYN",
"state": "PA",
"postal_code": "190941705",
"telephone_number": "610-833-2580",
"fax_number": "610-833-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE",
"first_name": "WILLIAM",
"middle_name": "NELSON",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004057L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0211216000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodlyn, PA
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.