Kristian Frederick McCoy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH1982 Issued in MA

Practice address

9 Boston Street
Lynn, MA 01904-2536

Phone

(781) 592-8089

Fax

(781) 592-8091

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kristian F. McCoy

  • Chiropractor
  • Lynn, MA
  • NPI 1104009810
  Medicare reassignment NPD Authorized official
• Kantorosinski Chiropractic Inc

  • Chiropractor
  • Salem, MA
  • NPI 1164521225
  NPD (past)
• Kantorosinski Chiropractic Inc

  • Chiropractor
  • Salem, MA
  • NPI 1518962844
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831231349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BOSTON STREET",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042536",
            "telephone_number": "781-592-8089",
            "fax_number": "781-592-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BOSTON STREET",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042536",
            "telephone_number": "781-592-8089",
            "fax_number": "781-592-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KRISTIAN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH1982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1606824",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRARD PILGRIM",
            "identifier": "AA28215",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MA",
            "identifier": "Y36415",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy J McCarthy, RN
• Stacey McCarthy, OTA/L
• Ellen McCauley, MA
• Keri McConaghy, LICSW
• Emily Stanton McConnell
• Elyse Taylor McCue
• Courtney McCusker
• Jessie Danielle McDaid
• Sean McDonough, MA
• Theresa McDonough

• Chiropractor in Lynn, MA
• Providers in Lynn, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.