Individual provider Active NPI

Meredith Ann Rosco, D.C.

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1568757995
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001884 Issued in CT
Practice address
173 Rustwood LN
Mooresville, NC 28117-8030
Phone
(203) 994-4541
Fax
(203) 724-0383
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012032 NY
Chiropractor 111N00000X 4535 NC
Chiropractor 111N00000X 001884 CT Primary

Addresses

Primary practice location

173 Rustwood LN
Mooresville, NC 28117-8030

Mailing address

20723 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031-6399
Phone (704) 895-2240

Other names 1

  • Dr. Meri Ann Rosco Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170215000000 NC Practitioner - Chiropractic 2961785084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vezendy Chiropractic PCGroup PAC ID 6507192598, 3 clinicians

Practice addresses (Care Compare)

20723 Torrence Chapel Rd
Suite 201
Cornelius, NC 28031-6399
Phone (704) 895-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4535NCMDChiropractor
X012032NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vezendy Chiropractic, PC CurrentSince Nov 9, 2019 Accepting new patients

Locations

20723 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031
Phone (704) 895-2240

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1568757995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20723 TORRENCE CHAPEL RD",
            "address_2": "STE 201",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316399",
            "telephone_number": "704-895-2240",
            "fax_number": "704-765-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 RUSTWOOD LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178030",
            "telephone_number": "203-994-4541",
            "fax_number": "203-724-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCO",
        "first_name": "MEREDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012032",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4535",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERI",
            "last_name": "ROSCO",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 9, 2019; 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.