Organization Active NPI

Millennium Chiropractic Clinic

  • Chiropractor
  • Clarinda, IA
National Provider Identifier
1265601959
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06320 Issued in IA
Legal business name
MILLENNIUM CHIROPRACTIC CLINIC
Practice address
1205 S 16TH St
Clarinda, IA 51632-2988
Phone
(712) 542-6056
Fax
(712) 542-3056
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLENNIUM CHIROPRACTIC CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Wendy Lynnae McCoy, DC
Title
Owner
Phone
(712) 542-3056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06320 IA Primary

Addresses

Primary practice location

1205 S 16TH St
Clarinda, IA 51632-2988

Mailing address

1205 S 16TH St
Clarinda, IA 51632-2988
Phone (712) 542-6056

National Provider Directory

National Provider Directory
Part of
Millennium Chiropractic PC

Locations

1205 S 16th St
Clarinda, IA 51632
Phone (712) 542-3056

Practitioners & affiliated clinicians

Practitioners 2

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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1265601959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S 16TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322988",
            "telephone_number": "712-542-6056",
            "fax_number": "712-542-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S 16TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322988",
            "telephone_number": "712-542-6056",
            "fax_number": "712-542-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM CHIROPRACTIC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLENNIUM CHIROPRACTIC CLINIC",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYNNAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-542-3056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.