Organization Active NPI

McKee Chiropractic Inc.

  • Chiropractor
  • Gas City, IN
National Provider Identifier
1932299229
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001842 Issued in IN
Legal business name
MCKEE CHIROPRACTIC INC.
Practice address
1038 E Main St
Gas City, IN 46933-1621
Phone
(765) 674-3642
NPI assigned
Oct 15, 2006
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Jeremy William McKee, D.C.NPI 1730279027
Title
President
Phone
(765) 674-2490

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
Chiropractor 111N00000X 08001842 IN Primary

Addresses

Primary practice location

1038 E Main St
Gas City, IN 46933-1621

Mailing address

1038 E Main St
Gas City, IN 46933-1621
Phone (765) 674-3642

Other identifiers 2

IdentifierTypeStateIssuer
000000336597OtherANTHEM BCBS
200237590AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005000714 IN Part B Supplier - Clinic/Group Practice 9133188220 Receives reassigned benefits from 1 practitioner
Practice locations: Gas City, IN

National Provider Directory

National Provider Directory

Locations

1038 E Main St
Gas City, IN 46933
Phone (765) 674-3303

420 W Main St
Gas City, IN 46933
Phone (765) 674-2490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1932299229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E MAIN ST",
            "city": "GAS CITY",
            "state": "IN",
            "postal_code": "469331621",
            "telephone_number": "765-674-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 E MAIN ST",
            "city": "GAS CITY",
            "state": "IN",
            "postal_code": "469331621",
            "telephone_number": "765-674-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-674-2490",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000336597",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200237590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gas City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.