Individual provider Active NPI

Jonathan Patrick McHale, D.C.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1659658979
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32139 Issued in CA
Practice address
203 Grove St
Roseville, CA 95678-1519
Phone
(916) 783-2348
Fax
(855) 783-2372
NPI assigned
Nov 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32139 CA Primary

Addresses

Primary practice location

203 Grove St
Roseville, CA 95678-1519

Mailing address

203 Grove St
Roseville, CA 95678-1519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423001955 CA Practitioner - Chiropractic 8224356209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reichardt and McHale Chiropractic IncGroup PAC ID 7315265394, 2 clinicians

Practice addresses (Care Compare)

203 Grove St
Roseville, CA 95678-1519
Phone (916) 783-2348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reichardt & McHale Chiropractic Inc. Chiropractor CurrentSince Feb 25, 2015 Accepting new patients

Locations

203 Grove St
Roseville, CA 95678
Phone (916) 783-2348

1050 Opportunity Dr
Ste 150
Roseville, CA 95678
Phone (916) 474-5886

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1659658979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781519",
            "telephone_number": "916-783-2348",
            "fax_number": "855-783-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHALE",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.