Active NPI
Complete Wellness Chiropractic
- Chiropractor
- Fort Mill, SC
National Provider Identifier
1972833135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34085
- Legal business name
- COMPLETE WELLNESS CHIROPRACTIC
- Practice address
- 1520 Onyx RDG Ste 101
Fort Mill, SC 29708-8970 - Phone
- (704) 899-5000
- Fax
- (704) 625-0200
- NPI assigned
- Jan 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Anthony Cynowa Jr., D.C., C.C.E.P.
- Title
- Owner
- Phone
- (704) 899-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34085 | SC | Primary |
Addresses
Primary practice location
1520 Onyx RDG Ste 101
Fort Mill, SC 29708-8970
Mailing address
1520 Onyx RDG Ste 101
Fort Mill, SC 29708-8970
Phone (704) 899-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1520 Onyx Rdg
Ste 101
Fort Mill, SC 29708
Phone (704) 899-5000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fort Mill, SC
- NPI 1801075106
-
- Chiropractor
- Mint Hill, NC
- NPI 1437227899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263168000000",
"number": "1972833135",
"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": "297088970",
"telephone_number": "704-899-5000",
"fax_number": "704-625-0200"
},
{
"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": "297088970",
"telephone_number": "704-899-5000",
"fax_number": "704-625-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE WELLNESS CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A",
"authorized_official_last_name": "CYNOWA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-899-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C., C.C.E.P."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "34085",
"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 Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.