Active NPI
McClain Chiropractic Inc
- Sports Physician Chiropractor
- Florissant, MO
National Provider Identifier
1376782342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CE006098
- Legal business name
- MCCLAIN CHIROPRACTIC INC
- Practice address
- 2640 N. Hwy. 67
Florissant, MO 63033-1438 - Phone
- (314) 838-6083
- Fax
- (314) 838-8994
- NPI assigned
- Feb 13, 2009
- Last updated
- Feb 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Lee McClain, DC
- Title
- Owner
- Phone
- (314) 838-6083
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CE006098 | MO | Primary |
Addresses
Primary practice location
2640 N. Hwy. 67
Florissant, MO 63033-1438
Mailing address
2640 North Highway 67
Not Applicable
Florissant, MO 63033-1438
Phone (314) 838-6083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2640 N Highway 67
Florissant, MO 63033
Phone (314) 838-6083
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.
-
- Sports Physician Chiropractor
- Florissant, MO
- NPI 1780750554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234483200000",
"number": "1376782342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 NORTH HIGHWAY 67",
"address_2": "NOT APPLICABLE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630331438",
"telephone_number": "314-838-6083",
"fax_number": "314-838-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 N. HWY. 67",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630331438",
"telephone_number": "314-838-6083",
"fax_number": "314-838-8994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCLAIN CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-838-6083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "CE006098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.