Individual provider Active NPI

Richard Walter McCann Jr., D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1912925934
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005444 Issued in GA
Practice address
2500 Old Alabama Rd
Suite 19
Roswell, GA 30076-2400
Phone
(770) 587-2663
Fax
(770) 587-9110
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005444 GA Primary

Addresses

Primary practice location

2500 Old Alabama Rd
Suite 19
Roswell, GA 30076-2400

Mailing address

2500 Old Alabama Rd
Suite 19
Roswell, GA 30076-2400
Phone (770) 587-2663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000665 GA Practitioner - Chiropractic 7315135787 Practice locations: Alpharetta, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2500 Old Alabama Rd
Suite 20
Roswell, GA 30076-2400

8465 Holcomb Bridge Rd
Suite 680
Alpharetta, GA 30022-8598
Phone (770) 587-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005444GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hovey Chiropractic Clinic PC Chiropractor Past Accepting new patients
Dr. Richard W. McCann Jr. Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1912925934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 OLD ALABAMA RD",
            "address_2": "SUITE 19",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762400",
            "telephone_number": "770-587-2663",
            "fax_number": "770-587-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OLD ALABAMA RD",
            "address_2": "SUITE 19",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762400",
            "telephone_number": "770-587-2663",
            "fax_number": "770-587-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "RICHARD",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.