Individual provider Active NPI

Justin McLain, D.C.

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1255702585
Registry record updated Jan 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2896 Issued in TN
Practice address
3558 Kirby Pkwy
Memphis, TN 38115-4243
Phone
(901) 566-1203
Fax
(901) 566-1206
NPI assigned
Oct 13, 2015
Last updated
Jan 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2896 TN Primary

Addresses

Primary practice location

3558 Kirby Pkwy
Memphis, TN 38115-4243

Mailing address

3125 S Mendenhall Rd Ste 283
Memphis, TN 38115-2827
Phone (901) 428-7756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103002943 TN Order and Referring Only - General PracticePractitioner - General Practice 2264742287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2896TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JCM Chiropractic Chiropractor Past Accepting new patients
Kirby Physiotherapy Past Accepting new patients

Organizations & group practices 2

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452384000000",
    "number": "1255702585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 S MENDENHALL RD STE 283",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152827",
            "telephone_number": "901-428-7756",
            "fax_number": "901-767-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154243",
            "telephone_number": "901-566-1203",
            "fax_number": "901-566-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.