Kelly K MC Coy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2529 Issued in MN

Practice address

133 N Main St
Janesville, MN 56048-9538

Phone

(507) 234-5134

Fax

(507) 234-5134

NPI assigned

Aug 10, 2005

Last updated

Sep 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janesville Family Chiropractic Center LTD

  • Chiropractor
  • Janesville, MN
  • NPI 1639344799
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1518968635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "JANESVILLE",
            "state": "MN",
            "postal_code": "560480148",
            "telephone_number": "507-234-5134",
            "fax_number": "507-234-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N MAIN ST",
            "city": "JANESVILLE",
            "state": "MN",
            "postal_code": "560489538",
            "telephone_number": "507-234-5134",
            "fax_number": "507-234-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC COY",
        "first_name": "KELLY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "582228900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Kae Hurd, MS CCC-SLP
• Independent School District 2835
• Janesville Family Chiropractic Center LTD
• Janesville Nursing Home
• Let's Speak
• Teresa Lynn Schimek, OTR/L
• Team Bentson Enterprise PLLC
• Bradley Joseph Trullinger
• Diane E Witt, N.P.
• Kristin Kay Ziemke, MT-BC

• Chiropractor in Janesville, MN
• Providers in Janesville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.