Organization Active NPI

McCoy Corp. a Chiropractic Community

  • Chiropractor
  • Rohnert Park, CA
National Provider Identifier
1447897715
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCCOY CORP. A CHIROPRACTIC COMMUNITY
Practice address
6050 Commerce Blvd Ste 104
Rohnert Park, CA 94928-2111
Phone
(707) 588-9640
Fax
(707) 588-9675
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Dr. Colleen E McCoy, DCNPI 1356543789
Title
President
Phone
(707) 588-9640

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 Primary

Addresses

Primary practice location

6050 Commerce Blvd Ste 104
Rohnert Park, CA 94928-2111

Mailing address

6050 Commerce Blvd Ste 104
Rohnert Park, CA 94928-2111
Phone (707) 588-9640

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chiromccoyasst@att.net Direct

National Provider Directory

National Provider Directory

Locations

6050 Commerce Blvd
Ste 104
Rohnert Park, CA 94928
Phone (707) 588-9640

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1447897715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 COMMERCE BLVD STE 104",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282111",
            "telephone_number": "707-588-9640",
            "fax_number": "707-588-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 COMMERCE BLVD STE 104",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282111",
            "telephone_number": "707-588-9640",
            "fax_number": "707-588-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY CORP. A CHIROPRACTIC COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-588-9640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chiromccoyasst@att.net",
            "affiliation": "N",
            "endpointDescription": "office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6050 Commerce Blvd Ste 104",
            "city": "Rohnert Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949282111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.