Organization Active NPI

HSC Chiropractic of McKinney LLC

  • Chiropractor
  • McKinney, TX
National Provider Identifier
1013294065
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HSC CHIROPRACTIC OF MCKINNEY LLC
Practice address
6200 Eldorado Pkwy
Ste B
McKinney, TX 75070-5624
Phone
(972) 529-9911
Fax
(972) 529-9419
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Dr. M Brandon Pettke, DC
Title
DC/Manager
Phone
(972) 529-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6200 Eldorado Pkwy
Ste B
McKinney, TX 75070-5624

Mailing address

6200 Eldorado Pkwy
Ste B
McKinney, TX 75070-5624
Phone (972) 529-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000653 TX Part B Supplier - Clinic/Group Practice 1052575354 Receives reassigned benefits from 2 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

6200 Eldorado Pkwy
Ste B
McKinney, TX 75070
Phone (972) 529-9911

6200 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 617-4130

Practitioners & affiliated clinicians

Practitioners 3

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1013294065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 ELDORADO PKWY",
            "address_2": "STE B",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705624",
            "telephone_number": "972-529-9911",
            "fax_number": "972-529-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 ELDORADO PKWY",
            "address_2": "STE B",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705624",
            "telephone_number": "972-529-9911",
            "fax_number": "972-529-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSC CHIROPRACTIC OF MCKINNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "PETTKE",
        "authorized_official_first_name": "M BRANDON",
        "authorized_official_title_or_position": "DC/MANAGER",
        "authorized_official_telephone_number": "972-529-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.