Active NPI
Robert Anthony Cynowa Jr., D.C.
- Chiropractor
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3408
- Practice address
- 1520 Onyx RDG Ste 101
Fort Mill, SC 29708-0007 - Phone
- (704) 899-5000
- NPI assigned
- Nov 2, 2007
- Last updated
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3792 | NC | |
| Chiropractor | 111N00000X | 3408 | SC | Primary |
Addresses
Primary practice location
1520 Onyx RDG Ste 101
Fort Mill, SC 29708-0007
Mailing address
1520 Onyx RDG Ste 101
Fort Mill, SC 29708-0007
Phone (704) 899-5000
Other practice location 1
3010 Monroe Rd
Suite 105
Charlotte, NC 28205-7532
Phone (704) 334-3761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1520 Onyx RDG
Suite 101
Fort Mill, SC 29708-0007
Phone (803) 650-3770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3792 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Wellness Chiropractic | Chiropractor | Current | Accepting new patients |
| Walraven Chiropractic | Chiropractor | Past | Accepting new patients |
| McArdle Family Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
Locations
1520 Onyx Rdg
Ste 101
Fort Mill, SC 29708
Phone (704) 899-5000
Organizations & group practices 3
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.
-
- Chiropractor
- Fort Mill, SC
- NPI 1972833135
-
- Chiropractor
- Charlotte, NC
- NPI 1871822817
-
- Chiropractor
- Charlotte, NC
- NPI 1225227796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1801075106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 ONYX RDG STE 101",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297080007",
"telephone_number": "704-899-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 ONYX RDG STE 101",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297080007",
"telephone_number": "704-899-5000"
}
],
"practiceLocations": [
{
"address_1": "3010 Monroe Rd",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282057532",
"country_code": "US",
"telephone_number": "704-334-3761",
"fax_number": "704-334-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CYNOWA",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-02",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3792",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.