NPIMap

Organization Active NPI

McCann Family Chiropractic PLLC

  • Chiropractor
  • Marysville, WA
National Provider Identifier
1154487312
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034346 Issued in WA
Legal business name
MCCANN FAMILY CHIROPRACTIC PLLC
Practice address
11605 State Ave
Ste 111
Marysville, WA 98271-8427
Phone
(360) 657-7183
Fax
(360) 657-7188
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Matthew McCann, D.C.NPI 1467478131
Title
Owner
Phone
(360) 657-7183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034346 WA Primary

Addresses

Primary practice location

11605 State Ave
Ste 111
Marysville, WA 98271-8427

Mailing address

11605 State Ave
Ste 111
Marysville, WA 98271-8427
Phone (360) 657-7183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070119000391 WA Part B Supplier - Clinic/Group Practice 5991706814 Receives reassigned benefits from 1 practitioner
Practice locations: Marysville, WA

National Provider Directory

National Provider Directory

Locations

11605 State Ave
Ste 111
Marysville, WA 98271
Phone (360) 657-7183

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1154487312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 STATE AVE",
            "address_2": "STE 111",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718427",
            "telephone_number": "360-657-7183",
            "fax_number": "360-657-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 STATE AVE",
            "address_2": "STE 111",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718427",
            "telephone_number": "360-657-7183",
            "fax_number": "360-657-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCANN FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-657-7183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.