Active NPI
Mackenzie Sipes, D.C.
- Chiropractor
- Louisville, KY
National Provider Identifier
1033570098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5524
- Practice address
- 401 Creason CT Unit 205
Louisville, KY 40223 - Phone
- (270) 410-0191
- NPI assigned
- Mar 17, 2016
- Last updated
- Jul 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0000002877 | TN | |
| Chiropractor | 111N00000X | 5524 | KY | Primary |
Addresses
Primary practice location
401 Creason CT Unit 205
Louisville, KY 40223
Mailing address
401 Creason CT Unit 205
Louisville, KY 40223-6137
Phone (270) 410-0191
Other practice location 1
104 Eastpark Dr Ste 102
Brentwood, TN 37027-7535
Phone (615) 445-7701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K233960 | Medicaid | KY |
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 |
|---|---|---|---|
| 5524 | KY | MD | Chiropractor |
| 0000002877 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1033570098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CREASON CT UNIT 205",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402236137",
"telephone_number": "270-410-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CREASON CT UNIT 205",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40223",
"telephone_number": "270-410-0191"
}
],
"practiceLocations": [
{
"address_1": "104 Eastpark Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "TN",
"postal_code": "370277535",
"country_code": "US",
"telephone_number": "615-445-7701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIPES",
"first_name": "MACKENZIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-17",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "0000002877",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K233960",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.