Individual provider Active NPI

John Edward McCarrin, D.C.

  • Chiropractor
  • Media, PA
National Provider Identifier
1174680474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003273L Issued in PA
Practice address
605 W State St
Media, PA 19063-2620
Phone
(610) 566-7424
Fax
(610) 892-0489
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003273L PA Primary

Addresses

Primary practice location

605 W State St
Media, PA 19063-2620

Mailing address

605 W State St
Media, PA 19063-2620
Phone (610) 566-7424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000364 PA Practitioner - Chiropractic 1658263405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCarrin Chiropractic and Physical Therapy Centers IncGroup PAC ID 9032170311, 3 clinicians

Practice addresses (Care Compare)

436 E Baltimore Pike
Media, PA 19063-3840
Phone (610) 566-7424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003273LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McCarrin Chiropractic & Physical Therapy Centers Inc CurrentSince Jan 2, 2004 Accepting new patients

Locations

441 W 21st St
Chester, PA 19013
Phone (610) 566-7424

436 E Baltimore Ave
Media, PA 19063
Phone (610) 566-7424

605 W State St
#1
Media, PA 19063
Phone (610) 566-7424

605 W State St
Media, PA 19063
Phone (610) 565-8600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174680474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632620",
            "telephone_number": "610-566-7424",
            "fax_number": "610-892-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632620",
            "telephone_number": "610-566-7424",
            "fax_number": "610-892-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRIN",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003273L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.