Active NPI
Wendy McCoy PC
- Chiropractor
- Clarinda, IA
National Provider Identifier
1962586826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06320
- Legal business name
- WENDY MCCOY PC
- Practice address
- 1205 S 16TH St
Clarinda, IA 51632-2988 - Phone
- (712) 542-3056
- Fax
- (712) 542-3056
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wendy Lynnae McCoy, D.C.
- Title
- Chiropractor
- Phone
- (712) 542-3056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06320 | IA | Primary |
Addresses
Primary practice location
1205 S 16TH St
Clarinda, IA 51632-2988
Mailing address
1205 S 16TH St
Clarinda, IA 51632-2988
Phone (712) 542-3056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2209130 | Medicaid | IA |
Other names 1
- Millennium Chiropractic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1205 S 16th St
Clarinda, IA 51632
Phone (712) 542-3056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Clarinda, IA
- NPI 1356396899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1962586826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 S 16TH ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322988",
"telephone_number": "712-542-3056",
"fax_number": "712-542-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S 16TH ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322988",
"telephone_number": "712-542-3056",
"fax_number": "712-542-3056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENDY MCCOY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "LYNNAE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "712-542-3056",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "06320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2209130",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Millennium Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarinda, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.