Active NPI
Melanie Kae McKinnon, D.C.
- Chiropractor
- Houston, TX
National Provider Identifier
1831294479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4269
- Practice address
- 2855 Mangum Rd
Suite 103
Houston, TX 77092-7493 - Phone
- (713) 682-5569
- Fax
- (713) 682-0322
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- 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 | 4269 | TX | Primary |
Addresses
Primary practice location
2855 Mangum Rd
Suite 103
Houston, TX 77092-7493
Mailing address
2855 Mangum Rd
Suite 103
Houston, TX 77092-7493
Phone (713) 682-5569
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4269 | Other | TX | LICIENCE NUMBER |
| 601613 | Other | BLUE CROSS/BLUE SHIELD | |
| 76-0159091 | Other | FEDERAL ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810000431 | TX | Practitioner - Chiropractic | 7517091721 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2855 Mangum Rd
Suite 103
Houston, TX 77092-7498
Phone (713) 682-5569
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1831294479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 MANGUM RD",
"address_2": "SUITE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770927493",
"telephone_number": "713-682-5569",
"fax_number": "713-682-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 MANGUM RD",
"address_2": "SUITE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770927493",
"telephone_number": "713-682-5569",
"fax_number": "713-682-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "MELANIE",
"middle_name": "KAE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICIENCE NUMBER",
"identifier": "4269",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "601613",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID NUMBER",
"identifier": "76-0159091",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.