Organization Active NPI

McKinnon Chiropractic Inc

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1730363961
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2109 Issued in TN
Legal business name
MCKINNON CHIROPRACTIC INC
Practice address
4605 Mill Branch Lane
Knoxville, TN 37938-3260
Phone
(865) 922-1476
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Murray D McKinnon, DCNPI 1629131040
Title
Owner
Phone
(865) 988-1472

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 2109 TN Primary

Addresses

Primary practice location

4605 Mill Branch Lane
Knoxville, TN 37938-3260

Mailing address

4605 Mill Branch Lane
Knoxville, TN 37938-3260
Phone (865) 922-1476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000573 TN Part B Supplier - Clinic/Group Practice 0446141857 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

100 Johnstown Center Dr
Ste A
Johnstown, CO 80534
Phone (970) 587-4567

4605 Mill Branch Ln
Knoxville, TN 37938
Phone (865) 922-1476

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1730363961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MILL BRANCH LANE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383260",
            "telephone_number": "865-922-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MILL BRANCH LANE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383260",
            "telephone_number": "865-922-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-988-1472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.