Organization Active NPI

McCoy Chiropractic PA

  • Chiropractor
  • Waxhaw, NC
National Provider Identifier
1497839047
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3522 Issued in NC
Legal business name
MCCOY CHIROPRACTIC PA
Practice address
1201 N Broome St
Suite I
Waxhaw, NC 28173-7389
Phone
(704) 243-3835
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Stefani Ann McCoy, DC
Title
Owner
Phone
(704) 243-3835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3522 NC Primary

Addresses

Primary practice location

1201 N Broome St
Suite I
Waxhaw, NC 28173-7389

Mailing address

1201 N Broome St
Suite I
Waxhaw, NC 28173-7389
Phone (704) 243-3835

National Provider Directory

National Provider Directory

Locations

1201 N Broome St
Ste I
Waxhaw, NC 28173
Phone (208) 243-3835

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497839047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N BROOME ST",
            "address_2": "SUITE I",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737389",
            "telephone_number": "704-243-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N BROOME ST",
            "address_2": "SUITE I",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737389",
            "telephone_number": "704-243-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "STEFANI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-243-3835",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.