Individual provider Active NPI

Richard C Rosenkoetter, D.C.

  • Sports Physician Chiropractor
  • Atlanta, GA
National Provider Identifier
1922006774
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHIR001650 Issued in GA
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

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1650GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Wheeler Chiropractic, LLC PastSince Apr 1, 2015 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.

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.

Verify at the official NPI Registry.