Michael James McKim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1806 Issued in ID

Practice address

9321 N Government Way Ste D
Hayden, ID 83835-8263

Phone

(208) 891-0828

NPI assigned

Oct 26, 2017

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McKim Method Wellness PLLC

  • Chiropractor
  • Hayden, ID
  • NPI 1386281707
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1043722457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE D",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-891-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE D",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-891-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-26",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Teresa McCree, NP
• Marsha McCurdy, LCPC-8208
• Anthony M McFadden
• Jennifer C McIntosh, IBCLC
• McKim Method Wellness PLLC
• Megan Leigh McMaster-Stine, CCC-SLP
• Medicine Man North Pharmacy Inc (Medicine Man Prairie Pharmacy)
• Medicine Man North Pharmacy Inc (Medicine Man Hayden Pharmacy)
• Medicine Man North Pharmacy Inc (Medicine Man Athol Pharmacy)
• Roni Melton, LPC

• Chiropractor in Hayden, ID
• Providers in Hayden, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.