Individual provider Active NPI

Steven M McKinney, D.C.

  • Chiropractor
  • Boaz, AL
National Provider Identifier
1215664859
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2748 Issued in AL
Practice address
100 Elizabeth St Ste 427
Boaz, AL 35957-2151
Phone
(205) 353-3482
Fax
(888) 388-1187
NPI assigned
Aug 3, 2022
Last updated
Mar 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2748 AL Primary

Addresses

Primary practice location

100 Elizabeth St Ste 427
Boaz, AL 35957-2151

Mailing address

15482 Gallant Rd
Gallant, AL 35972-3215
Phone (205) 353-7973

Other identifiers 1

IdentifierTypeStateIssuer
2748OtherALLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL License Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803002141 AL Practitioner - Chiropractic 6608237847 Practice locations: Ashville, AL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37175 US Hwy 231
Suite 2
Ashville, AL 35953-7316
Phone (256) 907-9135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2748ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1215664859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15482 GALLANT RD",
            "city": "GALLANT",
            "state": "AL",
            "postal_code": "359723215",
            "telephone_number": "205-353-7973",
            "fax_number": "888-388-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELIZABETH ST STE 427",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572151",
            "telephone_number": "205-353-3482",
            "fax_number": "888-388-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2748",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "License",
            "affiliation": "N",
            "endpointDescription": "2748",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Chiropractic",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Chiropractor",
            "address_1": "3520 US Highway 431 Ste 200",
            "city": "Albertville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359500081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.