McCully Atlas Spinal Care Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31489 Issued in CA

Legal business name

MCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C.

Practice address

4655 Hoen Ave
Suite 8
Santa Rosa, CA 95405-7800

Phone

(707) 568-6900

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lucas McCully, D.C.NPI 1154567659

Title

President

Phone

(707) 568-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucas C McCully, DC

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1154567659
  Medicare reassignment NPD Authorized official
• John Harold Tolin, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Santa Rosa, CA
  • NPI 1962628651
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1730631268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE",
            "address_2": "SUITE 8",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057800",
            "telephone_number": "707-568-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE",
            "address_2": "SUITE 8",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057800",
            "telephone_number": "707-568-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "MCCULLY",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-568-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna McCoy, FNP
• Quinten Ramell McCoy
• Janyce McCroskey
• Jill McCulloch
• David McCullough, RN
• Patrick Wayne McCully
• Nancy L McCune
• Marie Antoinette McCurry
• Kimberly Jane McDermott
• Michael James McDermott, M.D.

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.