Active NPI
Richard C Rosenkoetter, D.C.
- Sports Physician Chiropractor
- Atlanta, GA
National Provider Identifier
1922006774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHIR001650
- Practice address
- 5064 Roswell Rd NE
Suite C-201
Atlanta, GA 30342-2281 - Phone
- (404) 233-2440
- Fax
- (404) 233-2441
- NPI assigned
- Jul 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CHIR001650 | GA | Primary |
Addresses
Primary practice location
5064 Roswell Rd NE
Suite C-201
Atlanta, GA 30342-2281
Mailing address
5064 Roswell Rd NE
Suite C-201
Atlanta, GA 30342-2281
Phone (404) 233-2440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1650 | GA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greg Wheeler Chiropractic, LLC | Past | Accepting new patients |
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.
-
- Chiropractor
- Atlanta, GA
- NPI 1750619623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1922006774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5064 ROSWELL RD NE",
"address_2": "SUITE C-201",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303422281",
"telephone_number": "404-233-2440",
"fax_number": "404-233-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5064 ROSWELL RD NE",
"address_2": "SUITE C-201",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303422281",
"telephone_number": "404-233-2440",
"fax_number": "404-233-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENKOETTER",
"first_name": "RICHARD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "CHIR001650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.