Provider Demographics
NPI:1235208588
Name:RICHARDS, JAMES R (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 DEPOT HILL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6738
Mailing Address - Country:US
Mailing Address - Phone:303-464-9282
Mailing Address - Fax:303-464-9752
Practice Address - Street 1:1010 DEPOT HILL RD STE 104
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-6738
Practice Address - Country:US
Practice Address - Phone:303-464-9282
Practice Address - Fax:303-464-9752
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU68382Medicare UPIN
PA077330Medicare ID - Type Unspecified