Individual provider Active NPI

Christopher Scott Derrick, D.C.

  • Chiropractor
  • McKinney, TX
National Provider Identifier
1730270125
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9062 Issued in TX
Practice address
2750 W. Virginia Pkwy., Ste. 102
McKinney, TX 75071
Phone
(972) 548-1650
Fax
(972) 548-1621
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9062 TX Primary

Addresses

Primary practice location

2750 W. Virginia Pkwy., Ste. 102
McKinney, TX 75071

Mailing address

2750 W. Virginia Pkwy., Ste. 102
McKinney, TX 75071
Phone (972) 548-1650

Other identifiers 1

IdentifierTypeStateIssuer
1627176MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015000054 TX Practitioner - Chiropractic 0244451375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sloan Medical PAGroup PAC ID 6800016007, 3 clinicians

Practice addresses (Care Compare)

5801 A W Viriginia Pkwy
Suite 200
McKinney, TX 75071
Phone (972) 548-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9062TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Sloan Medical, PA Chiropractor CurrentSince Jul 15, 2014 Accepting new patients
McKinney Chiropractic, P.a. Chiropractor Past Accepting new patients

Locations

5801 Virginia Pkwy
Ste 200A
McKinney, TX 75071

2750 Virginia Pkwy
Ste 102
McKinney, TX 75071
Phone (972) 542-8144

5801 Virginia Pkwy
Ste 200
McKinney, TX 75071
Phone (972) 548-1650

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1730270125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W. VIRGINIA PKWY., STE. 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "972-548-1650",
            "fax_number": "972-548-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W. VIRGINIA PKWY., STE. 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "972-548-1650",
            "fax_number": "972-548-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICK",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627176",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.