Individual provider Active NPI

Paul David McCartney, D.C.

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1982685715
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6884 Issued in TX
Practice address
111 E Old Settlers Blvd
Round Rock, TX 78664-2211
Phone
(512) 238-7625
Fax
(512) 238-6064
NPI assigned
Nov 9, 2005
Last updated
Aug 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6884 TX Primary

Addresses

Primary practice location

111 E Old Settlers Blvd
Round Rock, TX 78664-2211

Mailing address

111 E Old Settlers Blvd
Round Rock, TX 78664-2211
Phone (512) 238-7625

Other identifiers 2

IdentifierTypeStateIssuer
87800YOtherTXBLUE CROSS BLUE SHIELD
350047493OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324001231 TX Practitioner - Chiropractic 1759337611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 E Old Settlers Blvd
Suite 120
Round Rock, TX 78664-2211
Phone (512) 238-7625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McCartney & McCartney Chiropractor CurrentSince Jan 1, 2000 Accepting new patients

Locations

111 E Old Settlers Blvd
Round Rock, TX 78664
Phone (512) 238-7625

111 E Old Settlers Blvd
Ste 120
Round Rock, TX 78664
Phone (512) 238-7625

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1982685715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E OLD SETTLERS BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642211",
            "telephone_number": "512-238-7625",
            "fax_number": "512-238-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E OLD SETTLERS BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642211",
            "telephone_number": "512-238-7625",
            "fax_number": "512-238-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87800Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350047493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.