Active NPI
James B McBride, D.C.
- Chiropractor
- Lake Havasu City, AZ
National Provider Identifier
1619933751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2088
- Practice address
- 2169 McCulloch Blvd N
Lake Havasu City, AZ 86403-6833 - Phone
- (928) 855-8190
- Fax
- (928) 855-8215
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2088 | AZ | Primary |
Addresses
Primary practice location
2169 McCulloch Blvd N
Lake Havasu City, AZ 86403-6833
Mailing address
2169 McCulloch Blvd N
Lake Havasu City, AZ 86403-6833
Phone (928) 855-8190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0232990 | Other | AZ | BC BS AZ PROVIDER NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1619933751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2169 MCCULLOCH BLVD N",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864036833",
"telephone_number": "928-855-8190",
"fax_number": "928-855-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 MCCULLOCH BLVD N",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864036833",
"telephone_number": "928-855-8190",
"fax_number": "928-855-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "JAMES",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "2088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS AZ PROVIDER NUMBER",
"identifier": "AZ0232990",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.