Individual provider Active NPI

Daniel Patrick Richmond, D.C.

  • Chiropractor
  • Fountain Valley, CA
National Provider Identifier
1992723076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26127 Issued in CA
Practice address
9092 Talbert Ave
Suite #9
Fountain Valley, CA 92708-4452
Phone
(714) 593-4775
Fax
(714) 593-4765
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC26127 CA Primary

Addresses

Primary practice location

9092 Talbert Ave
Suite #9
Fountain Valley, CA 92708-4452

Mailing address

9092 Talbert Ave
Suite #9
Fountain Valley, CA 92708-4452
Phone (714) 593-4775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000561 CA Practitioner - Chiropractic 1759278377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9092 Talbert Ave
Suite 9
Fountain Valley, CA 92708-4452
Phone (714) 593-4775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26127CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Chiropractic Inc. Chiropractor CurrentSince Aug 1, 2012 Accepting new patients

Locations

9092 Talbert Ave
Ste 9
Fountain Valley, CA 92708
Phone (714) 593-4775

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992723076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE",
            "address_2": "SUITE #9",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084452",
            "telephone_number": "714-593-4775",
            "fax_number": "714-593-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE",
            "address_2": "SUITE #9",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084452",
            "telephone_number": "714-593-4775",
            "fax_number": "714-593-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

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.
  • 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.