Active NPI
James Vincent McMillan, DC
- Chiropractor
- Modesto, CA
National Provider Identifier
1447259593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11340
- Practice address
- 2212 Coffee Rd
Modesto, CA 95355-2306 - Phone
- (209) 548-9800
- Fax
- (209) 548-9400
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 11340 | CA | Primary |
Addresses
Primary practice location
2212 Coffee Rd
Modesto, CA 95355-2306
Mailing address
2212 Coffee Rd
Modesto, CA 95355-2306
Phone (209) 548-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0113400 | Other | CA | PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11340 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1447259593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552306",
"telephone_number": "209-548-9800",
"fax_number": "209-548-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552306",
"telephone_number": "209-548-9800",
"fax_number": "209-548-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "JAMES",
"middle_name": "VINCENT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DC0113400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.