Active NPI
Michael Edward McIntyre, DC
- Chiropractor
- Memphis, TN
National Provider Identifier
1093801946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1975
- Practice address
- 487 N Highland St Apt 14
Memphis, TN 38122-4575 - Phone
- (901) 728-7964
- NPI assigned
- Oct 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010106 | PA | |
| Chiropractor | 111N00000X | DC4674 | OH | |
| Chiropractor | 111N00000X | DC1975 | TN | Primary |
Addresses
Primary practice location
487 N Highland St Apt 14
Memphis, TN 38122-4575
Mailing address
487 N Highland St Apt 14
Memphis, TN 38122-4575
Phone (901) 728-7964
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 |
|---|---|---|---|
| DC4674 | OH | MD | Chiropractor |
| DC010106 | PA | MD | Chiropractor |
| DC1975 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1093801946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 N HIGHLAND ST APT 14",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381224575",
"telephone_number": "901-728-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 N HIGHLAND ST APT 14",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381224575",
"telephone_number": "901-728-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010106",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC4674",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC1975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.