Organization Active NPI

McGuckin Chiropractic PC

  • Internist Chiropractor
  • Valparaiso, IN
National Provider Identifier
1306017157
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
08001021A Issued in IN
Legal business name
MCGUCKIN CHIROPRACTIC PC
Practice address
412 Marquette St
Valparaiso, IN 46383-2563
Phone
(219) 531-1234
Fax
(219) 531-0476
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Authorized official

Name
Brian Charles McGuckin, D.C.NPI 1821028937
Title
Owner
Phone
(219) 531-1234

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
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 08001021A IN Primary

Addresses

Primary practice location

412 Marquette St
Valparaiso, IN 46383-2563

Mailing address

412 Marquette St
Valparaiso, IN 46383-2563
Phone (219) 531-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090109000054 IN Part B Supplier - Clinic/Group Practice 8820151392 Receives reassigned benefits from 1 practitioner
Practice locations: Valparaiso, IN

National Provider Directory

National Provider Directory

Locations

412 Marquette St
Valparaiso, IN 46383
Phone (219) 272-8089

Practitioners & affiliated clinicians

Practitioners 1

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1306017157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MARQUETTE ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832563",
            "telephone_number": "219-531-1234",
            "fax_number": "219-531-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MARQUETTE ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832563",
            "telephone_number": "219-531-1234",
            "fax_number": "219-531-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGUCKIN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "MCGUCKIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-531-1234",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "IN",
            "license": "08001021A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.