McKim Method Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MCKIM METHOD WELLNESS PLLC

Practice address

9321 N Government Way Ste D
Hayden, ID 83835-8263

Phone

(208) 891-0828

NPI assigned

Dec 4, 2019

Last updated

Dec 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael James McKim, DCNPI 1043722457

Title

Owner

Phone

(208) 891-0828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Michael James McKim, DC

  • Chiropractor
  • Hayden, ID
  • NPI 1043722457
  Medicare reassignment NPD Authorized official
• Christopher Michael Hackett, D.C.

  • Chiropractor
  • Hayden, ID
  • NPI 1154659415
  NPD

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1386281707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE D",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-891-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE D",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-891-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKIM METHOD WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "MCKIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-891-0828",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kristina McCrea, MS
• Dorothy Teresa McCree, NP
• Marsha McCurdy, LCPC-8208
• Anthony M McFadden
• Jennifer C McIntosh, IBCLC
• Michael James McKim, DC
• Megan Leigh McMaster-Stine, CCC-SLP
• Medicine Man North Pharmacy Inc (Medicine Man Prairie Pharmacy)
• Medicine Man North Pharmacy Inc (Medicine Man Hayden Pharmacy)
• Medicine Man North Pharmacy Inc (Medicine Man Athol Pharmacy)

• Chiropractor in Hayden, ID
• Providers in Hayden, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.