Individual provider Active NPI

Nicholas Michael McCarty, DC

  • Chiropractor
  • Champlin, MN
National Provider Identifier
1447007240
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7227 Issued in MN
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

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7227MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic, Inc Chiropractor PastSince May 7, 2024 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.

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.

Verify at the official NPI Registry.