Active NPI
Mark J McCoy, D.C.
- Chiropractor
- Topeka, KS
National Provider Identifier
1811909534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-03740
- Practice address
- 1119 SW Gage Blvd
Topeka, KS 66604-1999 - Phone
- (785) 272-3878
- Fax
- (785) 272-7117
- NPI assigned
- Aug 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03740 | KS | Primary |
Addresses
Primary practice location
1119 SW Gage Blvd
Topeka, KS 66604-1999
Mailing address
1119 SW Gage Blvd
Topeka, KS 66604-1999
Phone (785) 272-3878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007291 | Other | KS | BCBS ID NUMBER |
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 |
|---|---|---|---|
| 01-03740 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811909534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041999",
"telephone_number": "785-272-3878",
"fax_number": "785-272-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041999",
"telephone_number": "785-272-3878",
"fax_number": "785-272-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID NUMBER",
"identifier": "007291",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.