Kristian F. McCoy

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH1982 Issued in MA

Legal business name

KRISTIAN F. MCCOY

Practice address

9 Boston St
Lynn, MA 01904-2536

Phone

(781) 592-8089

Fax

(781) 592-8091

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristian Frederick McCoy, DCNPI 1831231349

Title

Chiropractor

Phone

(781) 592-8089

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Flax Pond Chiropractic Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristian Frederick McCoy, DC

  • Chiropractor
  • Lynn, MA
  • NPI 1831231349
  Medicare reassignment NPD Authorized official
• Ashley Victoria Bartlett, LMT

  • Massage Therapist
  • Lynn, MA
  • NPI 1427548320
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1104009810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BOSTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042536",
            "telephone_number": "781-592-8089",
            "fax_number": "781-592-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BOSTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042536",
            "telephone_number": "781-592-8089",
            "fax_number": "781-592-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIAN F. MCCOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "781-592-8089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH1982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA28215",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "198200",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1606824",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "Y36415",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flax Pond Chiropractic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Rose Kostopoulos
• Suzanne Kramer, M.S., M.ED.
• Natalya Iosifovna Kravetskaya, D.M.D.
• Jacob Harry Krieger
• Lyndsay Taylor Krisel
• Christine Krom, LMHC
• Renata Krznar Milord
• Lyndsay Marie Kuder, LMHC
• Tamara S Kuleshov, PT
• Taylor Alyson Kurmis, LCSW

• Chiropractor in Lynn, MA
• Providers in Lynn, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.