Individual provider Active NPI

Gabriel U McKinney, D.C.

  • Chiropractor
  • Saint Albans, WV
National Provider Identifier
1073797379
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
874 Issued in WV
Practice address
700 6TH Ave
Saint Albans, WV 25177-2917
Phone
(304) 722-2225
Fax
(304) 722-7225
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 874 WV Primary

Addresses

Primary practice location

700 6TH Ave
Saint Albans, WV 25177-2917

Mailing address

700 6TH Ave
Saint Albans, WV 25177-2917
Phone (304) 722-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000338 WV Practitioner - Chiropractic 0840328191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 6TH Ave
Saint Albans, WV 25177-2917
Phone (304) 722-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
874WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jones & Morris Chiropractic PLLC Chiropractor CurrentSince Jan 2, 2014 Accepting new patients

Locations

700 6th Ave
Saint Albans, WV 25177
Phone (304) 722-2225

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": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1073797379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 6TH AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772917",
            "telephone_number": "304-722-2225",
            "fax_number": "304-722-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 6TH AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772917",
            "telephone_number": "304-722-2225",
            "fax_number": "304-722-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "GABRIEL",
        "middle_name": "U",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.