McCombs Chiropractic Clinic, LTD.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

4164 Issued in MN

Legal business name

MCCOMBS CHIROPRACTIC CLINIC, LTD.

Practice address

2550 Horizon Dr
Burnsville, MN 55337-3091

Phone

(952) 846-4149

Fax

(952) 846-4234

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Lee McCombs, D.C.NPI 1588725212

Title

President/Chiropractor

Phone

(952) 846-4149

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McCombs Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Lee McCombs, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1588725212
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1376783340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HORIZON DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373091",
            "telephone_number": "952-846-4149",
            "fax_number": "952-846-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HORIZON DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373091",
            "telephone_number": "952-846-4149",
            "fax_number": "952-846-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMBS CHIROPRACTIC CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "952-846-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "4164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784063200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCombs Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Frances McAfee, CST
• Alex McCaleb
• Kirsten Elizabeth McCarthy, DPT
• Lexie McCarthy, LICSW
• Kaylin M McClay
• Stephen Lee McCombs, D.C.
• Lisa Ann McConkey, PHARMD
• Kari Jo McDonald, D.C.
• Rochelle N McElhanon
• David Wade McGehee-de Jesus, PA-C

• Health Service Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.