Individual provider Active NPI

Dave W McKinnon, L.A.C

  • Acupuncturist
  • Chattanooga, TN
National Provider Identifier
1730314709
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
1208 Pointe Centre Dr
Chattanooga, TN 37421-3983
Phone
(423) 893-6500
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

1208 Pointe Centre Dr
Chattanooga, TN 37421-3983

Mailing address

1208 Pointe Centre Dr
Chattanooga, TN 37421-3983
Phone (423) 893-6500

Other practice location 1

2537 University Ave
Suite #101B
San Diego, CA 92104-2807
Phone (619) 358-9508

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

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1730314709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 POINTE CENTRE DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213983",
            "telephone_number": "423-893-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 POINTE CENTRE DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213983",
            "telephone_number": "423-893-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2537 University Ave",
            "address_2": "Suite #101B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921042807",
            "country_code": "US",
            "telephone_number": "619-358-9508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "DAVE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "L.A.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.