Organization Active NPI

McGinnis Chiropractic Professional Corporation

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1821230244
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22077 Issued in CA
Legal business name
MCGINNIS CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
5149 Moorpark Ave Ste 102
San Jose, CA 95129-2156
Phone
(408) 253-9740
Fax
(408) 253-6259
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Tina Marie McGinnis, D.C.NPI 1508882291
Title
Ceo
Phone
(408) 253-9740

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 22077 CA Primary

Addresses

Primary practice location

5149 Moorpark Ave Ste 102
San Jose, CA 95129-2156

Mailing address

5149 Moorpark Ave Ste 102
San Jose, CA 95129-2156
Phone (408) 253-9740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090629000441 CA Part B Supplier - Clinic/Group Practice 5698826873 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

5149 Moorpark Ave
Ste 102
San Jose, CA 95129
Phone (408) 253-9740

Practitioners & affiliated clinicians

Practitioners 1

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": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1821230244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292156",
            "telephone_number": "408-253-9740",
            "fax_number": "408-253-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292156",
            "telephone_number": "408-253-9740",
            "fax_number": "408-253-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGINNIS CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-253-9740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.