Kevin Richard McCarthy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038004468 Issued in IL

Practice address

304 W Northridge LN
Peoria, IL 61614-4958

Phone

(309) 689-0076

Fax

(309) 689-0091

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208736000000",
    "number": "1508907817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N KNOXVILLE AVE",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142858",
            "telephone_number": "309-689-0076",
            "fax_number": "309-689-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W NORTHRIDGE LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144958",
            "telephone_number": "309-689-0076",
            "fax_number": "309-689-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd David McCall, M.D.
• Yvonne M McCall, PA
• Sara Sable McCann, MD
• Christopher B McCarthy, DO
• Heather Lee Doebler McCarthy, D.O.
• McCavitt Chiropractic Center, P.C.
• Michael Shawn McCavitt, D.C.
• Amanda McClain
• Jocelyn R McClain, MD
• Kyle McClintock

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.