Individual provider Active NPI

Richard Clyde Bowes III, D.C.

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1255594339
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3816 Issued in NC
Practice address
528 Williamson Rd
Mooresville, NC 28117-8197
Phone
(704) 663-7625
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3816 NC Primary

Addresses

Primary practice location

528 Williamson Rd
Mooresville, NC 28117-8197

Mailing address

7214 Benita Dr
Charlotte, NC 28212-7005
Phone (563) 343-9920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000624 NC Practitioner - Chiropractic 3678629581 Reassigns benefits to 1 organization
Practice locations: Mooresville, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 Williamson Rd
Suite 104
Mooresville, NC 28117-5967
Phone (704) 360-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3816NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Richard C Bowes PLLC Chiropractor CurrentSince Feb 24, 2015 Accepting new patients
Active Spine & Rehab Center, PLLC Chiropractor PastSince Mar 13, 2009 Accepting new patients

Locations

311 Williamson Rd
Ste 104
Mooresville, NC 28117
Phone (704) 360-4562

570 Williamson Rd
Ste E
Mooresville, NC 28117
Phone (704) 663-7625

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1255594339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 BENITA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127005",
            "telephone_number": "563-343-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WILLIAMSON RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178197",
            "telephone_number": "704-663-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWES",
        "first_name": "RICHARD",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.