Active NPI
Nicholas Michael McCarty, DC
- Chiropractor
- Champlin, MN
National Provider Identifier
1447007240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7227
- Practice address
- 11030 Douglas Dr N
Champlin, MN 55316-3466 - Phone
- (763) 571-2115
- Fax
- (763) 773-2050
- NPI assigned
- May 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7227 | MN | Primary |
Addresses
Primary practice location
11030 Douglas Dr N
Champlin, MN 55316-3466
Mailing address
11030 Douglas Dr N
Champlin, MN 55316-3466
Phone (763) 571-2115
Other practice location 1
2115 County Road D E Ste B
Maplewood, MN 55109-5353
Phone (651) 773-2050
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7227 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Champlin, MN
- NPI 1326273798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1447007240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11030 DOUGLAS DR N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553163466",
"telephone_number": "763-571-2115",
"fax_number": "763-773-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11030 DOUGLAS DR N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553163466",
"telephone_number": "763-571-2115",
"fax_number": "763-773-2050"
}
],
"practiceLocations": [
{
"address_1": "2115 County Road D E Ste B",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551095353",
"country_code": "US",
"telephone_number": "651-773-2050",
"fax_number": "763-773-0253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTY",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "7227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champlin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.