Organization Active NPI

McClain Chiropractic, LLC

  • Chiropractor
  • Richmond, IN
National Provider Identifier
1194087916
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002622A Issued in IN
Legal business name
MCCLAIN CHIROPRACTIC, LLC
Practice address
408 S 14TH St
Richmond, IN 47374-6403
Phone
(765) 969-5891
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Dr. Elizabeth Rose McClain, D.C.NPI 1750652293
Title
Owner
Phone
(765) 969-5891

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 08002622A IN Primary

Addresses

Primary practice location

408 S 14TH St
Richmond, IN 47374-6403

Mailing address

408 S 14TH St
Richmond, IN 47374-6403
Phone (765) 969-5891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120629000230 IN Part B Supplier - Clinic/Group Practice 4183889918 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, IN

National Provider Directory

National Provider Directory

Locations

191 Fort Wayne Ave
Richmond, IN 47374
Phone (765) 969-5891

213 SW 2nd St
Richmond, IN 47374
Phone (765) 935-7844

Practitioners & affiliated clinicians

Practitioners 2

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": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1194087916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S 14TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746403",
            "telephone_number": "765-969-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S 14TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746403",
            "telephone_number": "765-969-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLAIN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-969-5891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.