Organization Active NPI

McClimon Chiropractic, Inc.

  • Chiropractor
  • Birdsboro, PA
National Provider Identifier
1629196522
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008999 Issued in PA
Legal business name
MCCLIMON CHIROPRACTIC, INC.
Practice address
3346 Main St
Birdsboro, PA 19508-8136
Phone
(610) 582-4400
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Tyler McClimonNPI 1881648632
Title
Owner
Phone
(610) 582-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008999 PA Primary

Addresses

Primary practice location

3346 Main St
Birdsboro, PA 19508-8136

Mailing address

3346 Main St
Birdsboro, PA 19508-8136
Phone (610) 582-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000363 PA Part B Supplier - Clinic/Group Practice 1850302613 Receives reassigned benefits from 1 practitioner
Practice locations: Birdsboro, PA

National Provider Directory

National Provider Directory

Locations

3346 Main St
Birdsboro, PA 19508
Phone (610) 582-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1629196522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 MAIN ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195088136",
            "telephone_number": "610-582-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 MAIN ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195088136",
            "telephone_number": "610-582-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLIMON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MCCLIMON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-582-4400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.