Individual provider Active NPI

Richard Avery McKinley, D.C.

  • Chiropractor
  • Stedman, NC
National Provider Identifier
1033546387
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1634 Issued in NC
Practice address
5183 Clinton Rd
Suite 101
Stedman, NC 28391-9523
Phone
(910) 482-4444
Fax
(910) 482-4441
NPI assigned
Oct 2, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1634 NC Primary

Addresses

Primary practice location

5183 Clinton Rd
Suite 101
Stedman, NC 28391-9523

Mailing address

5183 Clinton Rd
Suite 101
Stedman, NC 28391-9523
Phone (910) 482-4444

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1634NCMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1033546387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5183 CLINTON RD",
            "address_2": "SUITE 101",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919523",
            "telephone_number": "910-482-4444",
            "fax_number": "910-482-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5183 CLINTON RD",
            "address_2": "SUITE 101",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919523",
            "telephone_number": "910-482-4444",
            "fax_number": "910-482-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "RICHARD",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stedman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.