Timothy R McMullen DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006657 Issued in MO

Legal business name

TIMOTHY R MCMULLEN DC PC

Doing business as

McMullen Chiropractic Center, PC

Practice address

1508 Missouri Route a
Suite a
Liberty, MO 64068-7129

Phone

(816) 781-1010

Fax

(816) 415-8487

NPI assigned

Nov 7, 2006

Last updated

Oct 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Richard McMullen, D.C.NPI 1558552216

Title

Corporate President

Phone

(816) 781-1010

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• McMullen Chiropractic Center, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Richard McMullen, DC

  • Chiropractor
  • Liberty, MO
  • NPI 1558552216
  Medicare reassignment Care Compare group NPD Authorized official
• Madison Strathman, DC

  • Chiropractor
  • Liberty, MO
  • NPI 1801665112
  Medicare reassignment Care Compare group NPD
• Eric J Buckley, D.C.

  • Chiropractor
  • Liberty, MO
  • NPI 1588842801
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1134298979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 MISSOURI ROUTE A",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687129",
            "telephone_number": "816-781-1010",
            "fax_number": "816-415-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MISSOURI ROUTE A",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687129",
            "telephone_number": "816-781-1010",
            "fax_number": "816-415-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R MCMULLEN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "816-781-1010",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "U70653",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "25314026",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7070138",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMullen Chiropractic Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda K Thornton, MD
• Kyle Scott Thorsen
• Avrie Tigges
• Steven Michael Timmer, DC
• Timothy J. Smith, O.D.,P.C.
• Tinsley & Shultz DDS PC
• William S. Tinsley, D.D.S.
• Alexander Joseph Tison
• Heidi Marie Tolnai, L.P.C.
• Olivia Renee Tomek

• Chiropractor in Liberty, MO
• Providers in Liberty, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.