Organization Active NPI

Richard W. Prosser, DC PA

  • Orthopedic Chiropractor
  • Concord, NC
National Provider Identifier
1497947642
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1405 Issued in NC
Legal business name
RICHARD W. PROSSER, DC PA
Practice address
845 Church St N
Suite 210
Concord, NC 28025-4300
Phone
(704) 794-6239
Fax
(704) 794-6240
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Richard Wise Prosser, DC
Title
Owner
Phone
(704) 794-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 1405 NC Primary

Addresses

Primary practice location

845 Church St N
Suite 210
Concord, NC 28025-4300

Mailing address

845 Church St N
Suite 210
Concord, NC 28025-4300
Phone (704) 794-6239

National Provider Directory

National Provider Directory

Locations

845 Church St N
Ste 210
Concord, NC 28025
Phone (704) 376-8666

5403 Village Dr NW
Concord, NC 28027
Phone (704) 376-8666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1497947642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CHURCH ST N",
            "address_2": "SUITE 210",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254300",
            "telephone_number": "704-794-6239",
            "fax_number": "704-794-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CHURCH ST N",
            "address_2": "SUITE 210",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254300",
            "telephone_number": "704-794-6239",
            "fax_number": "704-794-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W. PROSSER, DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "PROSSER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-794-6239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NC",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.