Individual provider Active NPI

Christopher Mark McGarrahan

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1609515402
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15182 Issued in TX
Practice address
3816 Southpark Dr
Tyler, TX 75703-1713
Phone
(903) 561-0372
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15182 TX Primary

Addresses

Primary practice location

3816 Southpark Dr
Tyler, TX 75703-1713

Mailing address

3816 Southpark Dr
Tyler, TX 75703-1713
Phone (903) 561-0372

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

LicenseStateTypeSpecialty
15182TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Blanchard Jr., D.C., PLLC Chiropractor PastSince Jun 5, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1609515402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SOUTHPARK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031713",
            "telephone_number": "903-561-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 SOUTHPARK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031713",
            "telephone_number": "903-561-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARRAHAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.