Individual provider Active NPI

Kevin D McDade, DC

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1942675772
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557460 Issued in VA
Practice address
13146 Midlothian Tpke
Midlothian, VA 23113-4200
Phone
(804) 499-6020
Fax
(804) 499-6030
NPI assigned
Dec 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104557460 VA Primary

Addresses

Primary practice location

13146 Midlothian Tpke
Midlothian, VA 23113-4200

Mailing address

13146 Midlothian Tpke
Midlothian, VA 23113-4200
Phone (804) 499-6020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212001096 VA Practitioner - Chiropractic 8224320155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13146 Midlothian Tpke
Midlothian, VA 23113-4200
Phone (804) 499-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557460VAMDChiropractor
4632NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Chiropractic LLC Chiropractor CurrentSince Feb 7, 2021 Accepting new patients

Locations

13146 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 499-6020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1942675772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13146 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134200",
            "telephone_number": "804-499-6020",
            "fax_number": "804-499-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13146 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134200",
            "telephone_number": "804-499-6020",
            "fax_number": "804-499-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-04",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.