Active NPI
Michael D McIrvin, D.C.
- Chiropractor
- McPherson, KS
National Provider Identifier
1053532168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- C-4003
- Practice address
- 115 E Marlin St
McPherson, KS 67460-4300 - Phone
- (620) 241-8822
- Fax
- (620) 241-8822
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | C-4003 | KS | Primary |
Addresses
Primary practice location
115 E Marlin St
McPherson, KS 67460-4300
Mailing address
115 E Marlin St
McPherson, KS 67460-4300
Phone (620) 241-8822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023632 | Other | KS | BCBS MEDICARE PROVIDER NO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-4003 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053532168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E MARLIN ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674604300",
"telephone_number": "620-241-8822",
"fax_number": "620-241-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E MARLIN ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674604300",
"telephone_number": "620-241-8822",
"fax_number": "620-241-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCIRVIN",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "C-4003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MEDICARE PROVIDER NO",
"identifier": "023632",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in McPherson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.