NPIMap

Organization Active NPI

McQueen Family Chiropractic

  • Chiropractor
  • Mullins, SC
National Provider Identifier
1366403909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2596 Issued in SC
Legal business name
MCQUEEN FAMILY CHIROPRACTIC
Practice address
403 South Main Street
Mullins, SC 29574
Phone
(843) 464-4870
Fax
(843) 464-9572
NPI assigned
Mar 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Katherine F McQueen, CHIROPRACTORNPI 1144314972
Title
President Doctor
Phone
(843) 464-4870

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
Chiropractor 111N00000X 2596 SC Primary

Addresses

Primary practice location

403 South Main Street
Mullins, SC 29574

Mailing address

403 South Main Street
Mullins, SC 29574
Phone (843) 464-4870

Other identifiers 2

IdentifierTypeStateIssuer
GCH359MedicaidSC
CH2596MedicaidSC

National Provider Directory

National Provider Directory

Locations

403 S Main St
Mullins, SC 29574
Phone (843) 464-4870

Practitioners & affiliated clinicians

Practitioners 1

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": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366403909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SOUTH MAIN STREET",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "29574",
            "telephone_number": "843-464-4870",
            "fax_number": "843-464-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SOUTH MAIN STREET",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "29574",
            "telephone_number": "843-464-4870",
            "fax_number": "843-464-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCQUEEN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT DOCTOR",
        "authorized_official_telephone_number": "843-464-4870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH359",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2596",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.