Active NPI
Justin McLain, D.C.
- Chiropractor
- Memphis, TN
National Provider Identifier
1255702585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2896
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151103002943 | TN | Order and Referring Only - General Practice | 2264742287 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2896 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Memphis, TN
- NPI 1013380658
-
- Physical Therapy Clinic/Center
- Memphis, TN
- NPI 1881968311
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.