Individual provider Active NPI

Maile Fiscus McKain, L.AC., DIPL. O.M.

  • Acupuncturist
  • Park City, UT
National Provider Identifier
1720231889
Registry record updated Nov 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5194233-1201 Issued in UT
Practice address
1960 Sidewinder Dr
Suite 206
Park City, UT 84060-7329
Phone
(435) 602-9750
NPI assigned
Nov 2, 2008
Last updated
Nov 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5194233-1201 UT Primary

Addresses

Primary practice location

1960 Sidewinder Dr
Suite 206
Park City, UT 84060-7329

Mailing address

900 Bitner Rd
L-33
Park City, UT 84098-5404
Phone (435) 602-9750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5194233-1201UTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225584000000",
    "number": "1720231889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BITNER RD",
            "address_2": "L-33",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985404",
            "telephone_number": "435-602-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 SIDEWINDER DR",
            "address_2": "SUITE 206",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607329",
            "telephone_number": "435-602-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAIN",
        "first_name": "MAILE",
        "middle_name": "FISCUS",
        "name_prefix": "Ms.",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "5194233-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; 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.