Active NPI
Raymond Keith McKim, D.C.
- Neurology Chiropractor
- Nampa, ID
National Provider Identifier
1477516169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CHIA-459
- Practice address
- 2023 12TH Ave Rd
Nampa, ID 83686-6311 - Phone
- (208) 467-5756
- Fax
- (208) 467-1368
- NPI assigned
- Apr 11, 2006
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CHIA-459 | ID | Primary |
Addresses
Primary practice location
2023 12TH Ave Rd
Nampa, ID 83686-6311
Mailing address
2023 12TH Ave Rd
Nampa, ID 83686-6311
Phone (208) 467-5756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002702400 | Medicaid | ID |
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 |
|---|---|---|---|
| CHIA-459 | ID | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Chiropractic | 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
- Nampa, ID
- NPI 1023897162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477516169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866311",
"telephone_number": "208-467-5756",
"fax_number": "208-467-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866311",
"telephone_number": "208-467-5756",
"fax_number": "208-467-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKIM",
"first_name": "RAYMOND",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "ID",
"license": "CHIA-459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002702400",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.