Charles Alan Rissew Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2878 Issued in NC

Practice address

8600 Sam Furr Rd
Suite 180
Huntersville, NC 28078-6138

Phone

(704) 892-2282

Fax

(704) 892-2630

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801963129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SAM FURR RD",
            "address_2": "SUITE 180",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786138",
            "telephone_number": "704-892-2282",
            "fax_number": "704-892-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SAM FURR RD",
            "address_2": "SUITE 180",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786138",
            "telephone_number": "704-892-2282",
            "fax_number": "704-892-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISSEW",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085EU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "085EU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Hayden Richman, MD
• Heidi L Rienhardt
• Lucas Andrew Riggs, DPT
• Wendy Powell Riley
• Chad Risoldi, D.C.
• Andrea K Rizzie, DPT
• Jennifer Roach
• David J Roberts, MD
• Cynthia Ann Robie, PTA
• Lindsey Hughes Robinson, PHARMD

• Chiropractor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.