Organization Active NPI

McCoy Chiropractic P C

  • Chiropractor
  • Jefferson Valley, NY
National Provider Identifier
1285842922
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9201 Issued in NY
Legal business name
MCCOY CHIROPRACTIC P C
Practice address
250 E Main St
Jefferson Valley, NY 10535-1304
Phone
(914) 245-8410
Fax
(914) 245-8411
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Michelle McCoy, DCNPI 1336132513
Title
President
Phone
(914) 245-8410

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9201 NY Primary

Addresses

Primary practice location

250 E Main St
Jefferson Valley, NY 10535-1304

Mailing address

250 E Main St
PO Box 26
Jefferson Valley, NY 10535-1304
Phone (914) 245-8410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000416 NY Part B Supplier - Clinic/Group Practice 7719878073 Receives reassigned benefits from 2 practitioners
Practice locations: Jefferson Valley, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1285842922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E MAIN ST",
            "address_2": "PO BOX 26",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351304",
            "telephone_number": "914-245-8410",
            "fax_number": "914-245-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E MAIN ST",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351304",
            "telephone_number": "914-245-8410",
            "fax_number": "914-245-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-245-8410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "9201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.