Janesville Family Chiropractic Center LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2529 Issued in MN

Legal business name

JANESVILLE FAMILY CHIROPRACTIC CENTER LTD

Practice address

133 N Main
Janesville, MN 56048-0148

Phone

(507) 234-5134

Fax

(507) 234-5134

NPI assigned

Apr 29, 2008

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly K MC Coy, DCNPI 1518968635

Title

DC Owner

Phone

(507) 234-5134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Kelly K MC Coy, DC

  • Chiropractor
  • Janesville, MN
  • NPI 1518968635
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1639344799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "address_2": "133 N MAIN",
            "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",
            "city": "JANESVILLE",
            "state": "MN",
            "postal_code": "560480148",
            "telephone_number": "507-234-5134",
            "fax_number": "507-234-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANESVILLE FAMILY CHIROPRACTIC CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "MC COY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "507-234-5134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Besch, PT, DPT
• Cahill Pharmacy Inc
• Jolene Hauger
• Vickie Kae Hurd, MS CCC-SLP
• Independent School District 2835
• Janesville Nursing Home
• Let's Speak
• Kelly K MC Coy, DC
• Teresa Lynn Schimek, OTR/L
• Team Bentson Enterprise PLLC

• 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 Aug 30, 2011; 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.