Individual provider Active NPI

Kayla R. McHale

  • Chiropractor
  • Henderson, NC
National Provider Identifier
1023544913
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5259 Issued in NC
Practice address
414 Dabney Dr
Henderson, NC 27536-3944
Phone
(252) 430-8000
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5259 NC Primary

Addresses

Primary practice location

414 Dabney Dr
Henderson, NC 27536-3944

Mailing address

3291B Harry Davis Rd
Bullock, NC 27507-9594
Phone (717) 578-1241

Other practice location 1

1645 Dunlawton Ave
Apt #1424
Port Orange, FL 32127-7967
Phone (717) 578-1241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028000859 NC Practitioner - Chiropractic 0042620304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Chiropractic Clinic PAGroup PAC ID 7416907019, 2 clinicians

Practice addresses (Care Compare)

414 Dabney Dr
Henderson, NC 27536-3944
Phone (252) 430-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5259NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Chiropractic Clinic, P.a. Chiropractor CurrentSince Jan 1, 2023 Accepting new patients

Locations

414 Dabney Dr
Henderson, NC 27536
Phone (252) 430-8000

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1023544913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291B HARRY DAVIS RD",
            "city": "BULLOCK",
            "state": "NC",
            "postal_code": "275079594",
            "telephone_number": "717-578-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363944",
            "telephone_number": "252-430-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Dunlawton Ave",
            "address_2": "Apt #1424",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321277967",
            "country_code": "US",
            "telephone_number": "717-578-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHALE",
        "first_name": "KAYLA",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.