Courtney Arron McClure, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

2739 Issued in OH

Practice address

11 Warren Drive
Kingston, OH 45644-0646

Phone

(740) 642-4154

Fax

(740) 642-4156

NPI assigned

Apr 12, 2007

Reactivated

Aug 8, 2007

Last updated

Aug 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Franklin D Demint DO Inc

  • Family Medicine Physician
  • Kingston, OH
  • NPI 1285811141
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1861616658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WARREN DRIVE",
            "address_2": "PO BOX 646",
            "city": "KINGSTON",
            "state": "OH",
            "postal_code": "456440646",
            "telephone_number": "740-438-3080",
            "fax_number": "740-642-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WARREN DRIVE",
            "city": "KINGSTON",
            "state": "OH",
            "postal_code": "456440646",
            "telephone_number": "740-642-4154",
            "fax_number": "740-642-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "COURTNEY",
        "middle_name": "ARRON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-08-08",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "OH",
            "license": "2739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INSUR",
            "identifier": "4497404",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABSC",
            "identifier": "22000000162917",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2450629",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160870",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Karr
• Amie Jo Kern
• Kingston Nursing Home LTD (Kingston Health Care Center)
• Rebekha Lucas
• Marshall Mental Health & Wellness
• Ethan James Minshall, BS
• Wesley Molebash
• Gabriella Dawn Marie Neff
• Neurofirm Mental Health and Memory Services, LLC
• Dawn D Noble

• Independent Medical Examiner Chiropractor in Kingston, OH
• Providers in Kingston, OH by specialty
• Independent Medical Examiner Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.