Organization Active NPI

John C. Macaulay & Josephine C. Kinney

  • Chiropractor
  • Malvern, PA
National Provider Identifier
1780740233
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOHN C. MACAULAY & JOSEPHINE C. KINNEY
Practice address
403 Lancaster Ave
Malvern, PA 19355-1805
Phone
(610) 296-5560
Fax
(610) 296-5560
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. John Clark Macaulay, D.C.NPI 1316000870
Title
Partner
Phone
(610) 296-5560

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 Primary

Addresses

Primary practice location

403 Lancaster Ave
Malvern, PA 19355-1805

Mailing address

403 Lancaster Ave
Malvern, PA 19355-1805
Phone (610) 296-5560

Other identifiers 4

IdentifierTypeStateIssuer
WH116221OtherPWHIGHMARK BLUE SHIELD
0274895000OtherPAINDEPENDENCE BLUE CROSS
WH116221OtherPAHIGHMARK BLUE SHIELD
4488453OtherAETNA

Other names 1

  • Whitelands Chiropractic Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000045 PA Part B Supplier - Clinic/Group Practice 2961441407 Receives reassigned benefits from 2 practitioners
Practice locations: Frazer, PA

National Provider Directory

National Provider Directory

Locations

403 Lancaster Ave
Malvern, PA 19355
Phone (610) 296-5560

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1780740233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551805",
            "telephone_number": "610-296-5560",
            "fax_number": "610-296-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551805",
            "telephone_number": "610-296-5560",
            "fax_number": "610-296-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. MACAULAY & JOSEPHINE C. KINNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "MACAULAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-296-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "WH116221",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0274895000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "WH116221",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4488453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitelands Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.