Active NPI
Gregg S McKinney, D.C.
- Chiropractor
- Glastonbury, CT
National Provider Identifier
1013086354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 050000251CT01
- Practice address
- 34 Concord St
Glastonbury, CT 06033-2112 - Phone
- (860) 633-0611
- Fax
- (860) 657-8601
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 050000251CT01 | CT | Primary |
Addresses
Primary practice location
34 Concord St
Glastonbury, CT 06033-2112
Mailing address
34 Concord St
Glastonbury, CT 06033-2112
Phone (860) 633-0611
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050000251CT01 | Other | CT | BCBS |
| OV4669 | Other | CT | LANDMARK |
| 030-000251 | Other | CT | HEALTH SOURCE |
| 0516797 | Other | CT | US HEALTHCARE |
| 0982469 | Other | CT | AETNA HEALTH PLANS |
| 1013086354 | Other | NPI |
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 |
|---|---|---|---|
| 050000251CT01 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388102400000",
"number": "1013086354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CONCORD ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332112",
"telephone_number": "860-633-0611",
"fax_number": "860-657-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 CONCORD ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332112",
"telephone_number": "860-633-0611",
"fax_number": "860-657-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "GREGG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2013-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "050000251CT01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "050000251CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "OV4669",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SOURCE",
"identifier": "030-000251",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "0516797",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "0982469",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1013086354",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.