Active NPI
Mark M. McGregor, D.C.
- Sports Physician Chiropractor
- Hyannis, MA
National Provider Identifier
1952416414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1273
- Practice address
- 677 W Main St
Hyannis, MA 02601-3493 - Phone
- (508) 771-1115
- Fax
- (508) 771-0655
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1273 | MA | Primary |
Addresses
Primary practice location
677 W Main St
Hyannis, MA 02601-3493
Mailing address
677 W Main St
Hyannis, MA 02601-3493
Phone (508) 771-1115
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA1014 | Other | MA | HARVARD PILGRIM |
| 476767 | Other | MA | AETNA |
| 727382 | Other | MA | TUFTS |
| Y35910 | Other | MA | BC/BS INDIVIDUAL |
| Y39042 | Other | MA | BC/BS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060504000530 | MA | Practitioner - Chiropractic | 0749290799 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1273 | MA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952416414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 W MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013493",
"telephone_number": "508-771-1115",
"fax_number": "508-771-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 W MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013493",
"telephone_number": "508-771-1115",
"fax_number": "508-771-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREGOR",
"first_name": "MARK",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MA",
"license": "1273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA1014",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "476767",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "727382",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS INDIVIDUAL",
"identifier": "Y35910",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP",
"identifier": "Y39042",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.