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MICHAEL WARREN MCCULLOUGH DC
NPI 1053415166
Chiropractor in Boise, ID

Active since September 11, 2006
6003 OVERLAND RD STE 104, STE 104, BOISE, ID 83709(208) 343-2771(208) 321-7914 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Warren Mccullough Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WARREN MCCULLOUGH DC (NPI 1053415166) is an individual chiropractor in Boise, Idaho, licensed in Idaho (C516) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053415166
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMICHAEL WARREN MCCULLOUGHCredential: DC
Location Address6003 OVERLAND RD STE 104, STE 104Boise, ID 83709
Mailing Address6003 Overland Rd Ste 104, Ste 104Boise, ID 83709 · (208) 343-2771 · Fax (208) 321-7914
Phone(208) 343-2771
Fax(208) 321-7914
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053415166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · C516
Definition
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.
6003 OVERLAND RD STE 104, Boise, ID 83709
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Other Identifiers 4

Medicaid0012215ID
Medicare ID-Type Unspecified1672183
Medicare UPINT44521
OtherC5162ID · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mccullough's NPI number?

The NPI number for Michael Mccullough is 1053415166. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Michael Mccullough located?

Michael Mccullough practices at 6003 Overland Rd Ste 104 Ste 104, Boise, ID 83709. The listed phone number is (208) 343-2771.

What is Michael Mccullough's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Michael Mccullough accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Michael Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Mccullough was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.