MEDICARE: DR. RICHARD A. SILVER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC15388	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC15388	OTHER	CA	CHIROPRACTIC LICENSE NUMB

General Provider Information

NPI Number	:	1750473666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A. SILVER D.C.

Provider Business Mailing Address
First Line	:	3880 S BASCOM AVE STE 109
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2600
Country	:	US
Telephone Number	:	408-371-0260
Fax Number	:	408-371-2612

Provider Business Practice Location Address
First Line	:	3880 S BASCOM AVE STE 109
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2600
Country	:	US
Telephone Number	:	408-371-0260
Fax Number	:	408-371-2612

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/08/2007

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