Organization Active NPI

Complete Wellness Chiropractic

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1972833135
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34085 Issued in SC
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

Updated by the provider on Jan 11, 2010

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.NPI 1801075106
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20091215000690 SC Part B Supplier - Clinic/Group Practice 3971643362 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Mill, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.