Active NPI
Robert James McKinney, DC
- Chiropractor
- Wagoner, OK
National Provider Identifier
1376550574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3438
- Practice address
- 508 E Cherokee St
Wagoner, OK 74467-4710 - Phone
- (918) 485-1973
- Fax
- (918) 485-1979
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3438 | OK | Primary |
Addresses
Primary practice location
508 E Cherokee St
Wagoner, OK 74467-4710
Mailing address
PO Box 1096
Wagoner, OK 74477-1096
Phone (918) 485-1973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13831 S Hwy 51
Coweta, OK 74429-7168
Phone (918) 279-1310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3438 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coweta Family Chiropractic Clinic PLLC | Current | Accepting new patients |
Locations
13831 S State Highway 51
Coweta, OK 74429
Phone (918) 279-1310
13783 S State Highway 51
Coweta, OK 74429
Phone (918) 279-1310
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preferred Provider Organization
- Coweta, OK
- NPI 1770709248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1376550574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1096",
"city": "WAGONER",
"state": "OK",
"postal_code": "744771096",
"telephone_number": "918-485-1973",
"fax_number": "918-485-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674710",
"telephone_number": "918-485-1973",
"fax_number": "918-485-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.