NPIMap

Organization Active NPI

McCray Chiropractic LLC

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1710176722
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3630-012 Issued in WI
Legal business name
MCCRAY CHIROPRACTIC LLC
Practice address
2811 8TH St S
Suite 50
Wisconsin Rapids, WI 54494-6281
Phone
(715) 423-3020
Fax
(715) 423-3012
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Sharon Kay McCray, DCNPI 1447309588
Title
Owner
Phone
(715) 423-3020

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 3630-012 WI Primary

Addresses

Primary practice location

2811 8TH St S
Suite 50
Wisconsin Rapids, WI 54494-6281

Mailing address

2811 8TH St S
Suite 50
Wisconsin Rapids, WI 54494-6281
Phone (715) 423-3020

Other identifiers 1

IdentifierTypeStateIssuer
38928700MedicaidWI

National Provider Directory

National Provider Directory

Locations

2811 8th St S
Ste 50
Wisconsin Rapids, WI 54494
Phone (715) 423-3020

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1710176722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 8TH ST S",
            "address_2": "SUITE 50",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946281",
            "telephone_number": "715-423-3020",
            "fax_number": "715-423-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 8TH ST S",
            "address_2": "SUITE 50",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946281",
            "telephone_number": "715-423-3020",
            "fax_number": "715-423-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRAY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-423-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3630-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38928700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.