Provider Demographics
NPI:1801905005
Name:RICHARDS, DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
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 1:1509 HAYWOOD RD
Mailing Address - Street 2:STE A
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-2607
Mailing Address - Country:US
Mailing Address - Phone:828-697-7288
Mailing Address - Fax:828-697-7911
Practice Address - Street 1:1509 HAYWOOD RD
Practice Address - Street 2:STE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-2607
Practice Address - Country:US
Practice Address - Phone:828-697-7288
Practice Address - Fax:888-831-1745
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0194LOtherCNC
NC085F8OtherBLUE CROSS BLUE SHIELD
NC89085F8Medicaid
2454257AMedicare ID - Type Unspecified
NC085F8OtherBLUE CROSS BLUE SHIELD