NPIMap

Organization Active NPI

McNally Spinal Care, LLC

  • Chiropractor
  • Tomah, WI
National Provider Identifier
1477829745
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3654012 Issued in WI
Legal business name
MCNALLY SPINAL CARE, LLC
Practice address
1021 N. Superior Ave.
Suite #9
Tomah, WI 54660-1192
Phone
(608) 372-5900
Fax
(608) 372-5800
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Matthew McNally, D.C.NPI 1093862187
Title
Owner
Phone
(608) 372-5900

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 3654012 WI Primary

Addresses

Primary practice location

1021 N. Superior Ave.
Suite #9
Tomah, WI 54660-1192

Mailing address

1021 N. Superior Ave.
Suite #9
Tomah, WI 54660-1192
Phone (608) 372-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517000276 WI Part B Supplier - Clinic/Group Practice 4789674268 Receives reassigned benefits from 4 practitioners
Practice locations: Tomah, WI

National Provider Directory

National Provider Directory

Locations

1021 N Superior Ave
Ste 9
Tomah, WI 54660
Phone (608) 372-5900

Practitioners & affiliated clinicians

Practitioners 5

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": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1477829745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N. SUPERIOR AVE.",
            "address_2": "SUITE #9",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601192",
            "telephone_number": "608-372-5900",
            "fax_number": "608-372-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N. SUPERIOR AVE.",
            "address_2": "SUITE #9",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601192",
            "telephone_number": "608-372-5900",
            "fax_number": "608-372-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNALLY SPINAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-372-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3654012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.