Individual provider Active NPI

Murray McKinnon, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1629131040
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7984176 Issued in TN
Practice address
4605 Mill Branch Lane
Knoxville, TN 37938
Phone
(865) 922-1476
Fax
(865) 922-2068
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7984176 TN Primary

Addresses

Primary practice location

4605 Mill Branch Lane
Knoxville, TN 37938

Mailing address

4605 Mill Branch LN
Knoxville, TN 37938-3260
Phone (865) 922-1476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000570 TN Practitioner - Chiropractic 7618868928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4605 Mill Branch Lane
Knoxville, TN 37938-3260

4605 Mill Branch LN
Knoxville, TN 37938-3260
Phone (865) 922-1476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7984176TNMDChiropractor
2109TNMDPediatrics Physician
3559COMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKinnon Chiropractic Inc Chiropractor CurrentSince Mar 24, 2004 Accepting new patients

Locations

100 Johnstown Center Dr
Ste A
Johnstown, CO 80534
Phone (970) 587-4567

4605 Mill Branch Ln
Knoxville, TN 37938
Phone (865) 922-1476

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1629131040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MILL BRANCH LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383260",
            "telephone_number": "865-922-1476",
            "fax_number": "865-922-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MILL BRANCH LANE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37938",
            "telephone_number": "865-922-1476",
            "fax_number": "865-922-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "7984176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.