Organization Active NPI

McGrew Chiropractic Clinic PA

  • Chiropractor
  • Statesville, NC
National Provider Identifier
1437240280
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1799 Issued in NC
Legal business name
MCGREW CHIROPRACTIC CLINIC PA
Practice address
2238 South Chipley Ford Road
Statesville, NC 28625-8706
Phone
(704) 873-3777
Fax
(704) 872-7534
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Philip Benjamin McGrew, DCNPI 1396768610
Title
President
Phone
(704) 873-3777

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1799 NC Primary

Addresses

Primary practice location

2238 South Chipley Ford Road
Statesville, NC 28625-8706

Mailing address

2238 South Chipley Ford Road
Statesville, NC 28625-8706
Phone (704) 873-3777

Other identifiers 5

IdentifierTypeStateIssuer
0806COtherNCBLUE CROSS BLUE SHIELD
890860CMedicaidNC
21962OtherNCPARTNERS
330716OtherNCAMERICAN CHIRO NETWORK
738494OtherNCMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120824000707 NC Part B Supplier - Clinic/Group Practice 2567619604 Receives reassigned benefits from 1 practitioner
Practice locations: Statesville, NC

National Provider Directory

National Provider Directory

Locations

2238 S Chipley Ford Rd
Statesville, NC 28625
Phone (704) 873-3777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1437240280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 SOUTH CHIPLEY FORD ROAD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258706",
            "telephone_number": "704-873-3777",
            "fax_number": "704-872-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 SOUTH CHIPLEY FORD ROAD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258706",
            "telephone_number": "704-873-3777",
            "fax_number": "704-872-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGREW CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-873-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0806C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890860C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "21962",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIRO NETWORK",
            "identifier": "330716",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "738494",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.