William Devon McMullen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1389 Issued in SD

Practice address

600 5TH St SE Ste 2
Watertown, SD 57201-4915

Phone

(605) 878-0167

NPI assigned

Jan 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Devon McMullen Other name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Peak Chiropractic LLCGroup PAC ID 2365856333, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Peak Chiropractic LLC

  • Chiropractor
  • Watertown, SD
  • NPI 1235729617
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1154911535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 5TH ST SE STE 2",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014915",
            "telephone_number": "605-878-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 5TH ST SE STE 2",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014915",
            "telephone_number": "605-878-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "WILLIAM",
        "middle_name": "DEVON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "MCMULLEN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrick McFarland, ARDMS
• Carla J McGregor, OPTICIAN
• Megan Johannah McKnight
• Elizabeth McMahon, PHARMD
• Bethany McMullen, DC
• Meadow Lake Assisted Living
• Melissa Marie Meester, LCSW-PIP
• Bradley G Meier, OD
• Meltdown Day Spa
• David Evan Mendel, LCSW

• Chiropractor in Watertown, SD
• Providers in Watertown, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.