Organization Active NPI

McAvoy Chiropractic, LLC

  • Chiropractor
  • Franklin, WI
National Provider Identifier
1316498074
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4683-012 Issued in WI
Legal business name
MCAVOY CHIROPRACTIC, LLC
Practice address
7000 S 76TH St
Franklin, WI 53132-9077
Phone
(414) 525-9500
Fax
(414) 525-0900
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mrs. Kathleen G McAvoy, D.C.
Title
Owner
Phone
(414) 525-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4683-012 WI Primary

Addresses

Primary practice location

7000 S 76TH St
Franklin, WI 53132-9077

Mailing address

7000 S 76TH St
Franklin, WI 53132-9077
Phone (414) 525-9500

Other names 1

  • Krsko Chiropractic, SC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108000501 WI Part B Supplier - Clinic/Group Practice 7618256041 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1316498074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329077",
            "telephone_number": "414-525-9500",
            "fax_number": "414-525-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329077",
            "telephone_number": "414-525-9500",
            "fax_number": "414-525-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCAVOY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "MCAVOY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-525-9500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4683-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krsko Chiropractic, SC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.