Individual provider Active NPI

Gary Wayne McKeel, D.C.

  • Occupational Health Chiropractor
  • Greensboro, NC
National Provider Identifier
1184602799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
1107 Issued in NC
Practice address
2007 W Vandalia Rd
Greensboro, NC 27407-7617
Phone
(336) 855-6316
Fax
(336) 854-1843
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

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
Occupational Health Chiropractor 111NX0100X 1107 NC Primary

Addresses

Primary practice location

2007 W Vandalia Rd
Greensboro, NC 27407-7617

Mailing address

2007 W Vandalia Rd
Greensboro, NC 27407-7617
Phone (336) 855-6316

Other identifiers 1

IdentifierTypeStateIssuer
8911332MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Chiropractic Center P a PastSince Mar 12, 1996 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184602799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 W VANDALIA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077617",
            "telephone_number": "336-855-6316",
            "fax_number": "336-854-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 W VANDALIA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077617",
            "telephone_number": "336-855-6316",
            "fax_number": "336-854-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEL",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "NC",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911332",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.