NPIMap

Organization Active NPI

McClellan Chiropractic Clinic

  • Chiropractor
  • Rainbow City, AL
National Provider Identifier
1053477844
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1167 Issued in AL
Legal business name
MCCLELLAN CHIROPRACTIC CLINIC
Practice address
3731 Rainbow Dr
Ste a
Rainbow City, AL 35906-6307
Phone
(256) 442-1441
Fax
(256) 442-3938
NPI assigned
Dec 28, 2006
Last updated
Feb 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Dr. Michael Richard McClellan, D.C.NPI 1184789273
Title
President
Phone
(256) 442-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1167 AL Primary

Addresses

Primary practice location

3731 Rainbow Dr
Ste a
Rainbow City, AL 35906-6307

Mailing address

3731 Rainbow Dr Ste a
Rainbow City, AL 35906-6367
Phone (256) 442-1441

Other names 1

  • McClellan Family Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000594 AL Part B Supplier - Clinic/Group Practice 3577580869 Receives reassigned benefits from 5 practitioners
Practice locations: Rainbow City, AL

National Provider Directory

National Provider Directory

Locations

3731 Rainbow Dr
Ste A
Rainbow City, AL 35906
Phone (256) 442-1441

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1053477844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 RAINBOW DR STE A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066367",
            "telephone_number": "256-442-1441",
            "fax_number": "256-442-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 RAINBOW DR",
            "address_2": "STE A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066307",
            "telephone_number": "256-442-1441",
            "fax_number": "256-442-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLELLAN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-442-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McClellan Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "McClellan Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.