Active NPI
Michael B McIntyre Jr., DC
- Chiropractor
- Fort Mill, SC
National Provider Identifier
1093288474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4396
- Practice address
- 1698 Highway 160 W Ste 140
Fort Mill, SC 29708-8033 - Phone
- (803) 547-9977
- NPI assigned
- Jan 8, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 4396 | SC | Primary |
Addresses
Primary practice location
1698 Highway 160 W Ste 140
Fort Mill, SC 29708-8033
Mailing address
1698 Highway 160 W Ste 140
Fort Mill, SC 29708-8033
Phone (803) 547-9977
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 |
|---|---|---|---|
| 4396 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1093288474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1698 HIGHWAY 160 W STE 140",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088033",
"telephone_number": "803-547-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 HIGHWAY 160 W STE 140",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088033",
"telephone_number": "803-547-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.