Organization Active NPI

McCoy Chiropractic, P.C.

  • Chiropractor
  • Sycamore, IL
National Provider Identifier
1831106962
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060-000586 Issued in IL
Legal business name
MCCOY CHIROPRACTIC, P.C.
Practice address
2676 Dekalb Avenue
Sycamore, IL 60178-3110
Phone
(815) 895-5111
Fax
(815) 895-5114
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mrs. Kattie N. O'Malley
Title
Office Manager
Phone
(815) 895-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 060-000586 IL Primary

Addresses

Primary practice location

2676 Dekalb Avenue
Sycamore, IL 60178-3110

Mailing address

2676 Dekalb Avenue
Sycamore, IL 60178-3110
Phone (815) 895-5111

Other identifiers 2

IdentifierTypeStateIssuer
01915170OtherILBCBS PROVIDER ID
L0754OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2676 DeKalb Ave
Sycamore, IL 60178
Phone (815) 517-0917

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1831106962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 DEKALB AVENUE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783110",
            "telephone_number": "815-895-5111",
            "fax_number": "815-895-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 DEKALB AVENUE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783110",
            "telephone_number": "815-895-5111",
            "fax_number": "815-895-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "KATTIE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-895-5111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060-000586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01915170",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "L0754",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.