Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053415166 Individual Practitioner Male Practitioner

Dr. Michael Warren Mccullough , DC

Chiropractor • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mccullough, DC is a registered healthcare professional specializing in Chiropractor in Boise, ID. Practice services are available at 6003 OVERLAND RD STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6003 Overland Rd Ste 104
Ste 104

Boise, ID 83709

Telephone 2083432771
Fax 2083217914

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
172 Specialists

Practicing in Boise, ID (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ID C516

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0012215 (ID)
Commercial Insurance / Payer ID Blue Cross
C5162 (ID)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6003 OVERLAND RD STE 104, STE 104, BOISE, ID 83709 (Tel: 2083432771)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6003 OVERLAND RD STE 104, STE 104, BOISE, ID 83709 (Tel: 2083432771)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MCCULLOUGH, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #C516 in ID)

🟢
Initial NPI Registration & Enumeration September 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053415166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6003 Overland Rd Ste 104, Ste 104

Boise, ID 83709

Phone: 2083432771

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.