Active NPI
Tracy Wade Richardson, D.C.
- Chiropractor
- Waynesboro, TN
National Provider Identifier
1992759658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2100
- Practice address
- 120 Public Square East
Waynesboro, TN 38485 - Phone
- (931) 722-7090
- Fax
- (931) 722-7090
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2100 | TN | Primary |
Addresses
Primary practice location
120 Public Square East
Waynesboro, TN 38485
Mailing address
480 County Road 298
Florence, AL 35634-5148
Phone (256) 443-1558
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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1992759658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 COUNTY ROAD 298",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356345148",
"telephone_number": "256-443-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PUBLIC SQUARE EAST",
"city": "WAYNESBORO",
"state": "TN",
"postal_code": "38485",
"telephone_number": "931-722-7090",
"fax_number": "931-722-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "TRACY",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.