Active NPI
Sheila G. McKenzie, D.C.
- Chiropractor
- Troy, MI
National Provider Identifier
1023147600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004824
- Practice address
- 1065 E Long Lake Rd
Troy, MI 48085-4912 - Phone
- (248) 524-2223
- Fax
- (248) 524-1398
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301004824 | MI | Primary |
Addresses
Primary practice location
1065 E Long Lake Rd
Troy, MI 48085-4912
Mailing address
1065 E Long Lake Rd
Troy, MI 48085-4912
Phone (248) 524-2223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P26577F | Other | MI | BLUE CARE NETWORK |
| 950F350090 | Other | MI | BLUE CROSS BLUE SHEILD |
| 11283300 | Other | MI | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004824 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023147600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 E LONG LAKE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480854912",
"telephone_number": "248-524-2223",
"fax_number": "248-524-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 E LONG LAKE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480854912",
"telephone_number": "248-524-2223",
"fax_number": "248-524-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "SHEILA",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P26577F",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "950F350090",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11283300",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.