Active NPI
Michael McGurn, D.C.
- Chiropractor
- Rockledge, FL
National Provider Identifier
1780971507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3680
- Practice address
- 1970 Rockledge Blvd
Rockledge, FL 32955-3755 - Phone
- (321) 636-3601
- Fax
- (321) 636-3639
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3680 | FL | Primary |
| Chiropractor | 111N00000X | 2159 | NJ |
Addresses
Primary practice location
1970 Rockledge Blvd
Rockledge, FL 32955-3755
Mailing address
1050 Shady LN
Merritt Island, FL 32952-6042
Phone (321) 750-2628
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2159 | NJ | MD | Psychologist |
| 3680 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1780971507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SHADY LN",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526042",
"telephone_number": "321-750-2628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 ROCKLEDGE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553755",
"telephone_number": "321-636-3601",
"fax_number": "321-636-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGURN",
"first_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "3680",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "2159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.