Individual provider Active NPI

Michael R McClure, DC

  • Chiropractor
  • Land O' Lakes, FL
National Provider Identifier
1437295573
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009218 Issued in PA
Practice address
5420 Land O Lakes Blvd Ste 105
Land O Lakes, FL 34639-3401
Phone
(813) 996-9800
Fax
(813) 996-3326
NPI assigned
Jan 29, 2007
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13190 FL
Chiropractor 111N00000X DC009218 PA Primary

Addresses

Primary practice location

5420 Land O Lakes Blvd Ste 105
Land O Lakes, FL 34639-3401

Mailing address

5420 Land O Lakes Blvd Ste 105
Land O Lakes, FL 34639-3401
Phone (813) 996-9800

Other practice location 1

1952 State Route 66
Greensburg, PA 15601-9282
Phone (724) 834-7882

Other identifiers 1

IdentifierTypeStateIssuer
001606018OtherPAHIGHMARK BLUE CROSS SHIEL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040709001057 PA Practitioner - Chiropractic 6103804752 Practice locations: Mount Pleasant, PA
I20210311001749 FL Practitioner - Chiropractic 6103804752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5420 Land O Lakes Blvd
Suite 105
Land O Lakes, FL 34639-3401
Phone (813) 996-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McClure Family and Sports Chiropractic LLC Chiropractor CurrentSince Nov 13, 2020 Accepting new patients
McClure Family Chiropractic LLC Chiropractor CurrentSince Nov 18, 2025 Accepting new patients
Health Pyramid Longevity and Vitality Center Chiropractor Past Accepting new patients
Ernesty Chiropractic, Inc. Chiropractor Past Accepting new patients
Shields Chiropractic Clinic, Inc Chiropractor Past Accepting new patients
Fay West Chiropractic Health Center Single Specialty Past Accepting new patients
Health Pyramid Productions Inc Chiropractor Past Accepting new patients

Locations

5420 Land O Lakes Blvd
Ste 105
Land O Lakes, FL 34639
Phone (813) 996-9800

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1437295573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 LAND O LAKES BLVD STE 105",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393401",
            "telephone_number": "813-996-9800",
            "fax_number": "813-996-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 LAND O LAKES BLVD STE 105",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393401",
            "telephone_number": "813-996-9800",
            "fax_number": "813-996-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 State Route 66",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156019282",
            "country_code": "US",
            "telephone_number": "724-834-7882",
            "fax_number": "724-834-7886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13190",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS SHIEL",
            "identifier": "001606018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.