Individual provider Active NPI

Ty Alan Alexander McCuen, B.S., D.C.

  • Chiropractor
  • Coldwater, MI
National Provider Identifier
1386815470
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009454 Issued in MI
Practice address
200 E Chicago St
Coldwater, MI 49036-2005
Phone
(989) 820-6810
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009454 MI Primary

Addresses

Primary practice location

200 E Chicago St
Coldwater, MI 49036-2005

Mailing address

160 Division St Ste E
Coldwater, MI 49036-2914
Phone (517) 279-2342

Other identifiers 1

IdentifierTypeStateIssuer
950C210530OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Wellness Institute, PLLC CurrentSince Oct 13, 2019 Accepting new patients
Southwest Spine Center PLLC Chiropractor PastSince Jan 6, 2012 Accepting new patients
Elevated Health and Performance Chiropractic Center PLLC Chiropractor PastSince Aug 20, 2012 Accepting new patients
Quest Health Systems IV, PLLC Chiropractor Past Accepting new patients

Locations

160 Division St
Ste E
Coldwater, MI 49036
Phone (517) 279-2342

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1386815470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DIVISION ST STE E",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362914",
            "telephone_number": "517-279-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362005",
            "telephone_number": "989-820-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUEN",
        "first_name": "TY ALAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C210530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.