Organization Active NPI

McCracken County Chiropractic

  • Chiropractor
  • Paducah, KY
National Provider Identifier
1225038839
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4624 Issued in KY
Legal business name
MCCRACKEN COUNTY CHIROPRACTIC
Practice address
2731 Jackson St
Paducah, KY 42003-3855
Phone
(270) 444-7111
Fax
(270) 444-7122
NPI assigned
Jul 26, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Mark Earl Atnip, DCNPI 1093988016
Title
Owner/Doctor
Phone
(270) 444-7111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4857 KY
Chiropractor 111N00000X 4624 KY Primary

Addresses

Primary practice location

2731 Jackson St
Paducah, KY 42003-3855

Mailing address

3305 Maxon Rd
Paducah, KY 42001-9650
Phone (270) 442-0333

Other identifiers 5

IdentifierTypeStateIssuer
000000318314OtherKYANTHEM M ATNIP
000000338910OtherKYANTHEM T KAHRE
85900371MedicaidKY
85001402MedicaidKY
85003093MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
McCracken County Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1225038839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MAXON RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019650",
            "telephone_number": "270-442-0333",
            "fax_number": "270-444-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 JACKSON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033855",
            "telephone_number": "270-444-7111",
            "fax_number": "270-444-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRACKEN COUNTY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ATNIP",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "270-444-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4857",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM M ATNIP",
            "identifier": "000000318314",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM T KAHRE",
            "identifier": "000000338910",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85900371",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001402",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003093",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.