McKenzie Slattery, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16010 Issued in TX

Practice address

4230 Gardendale St Ste 201
San Antonio, TX 78229-3476

Phone

(210) 691-2747

NPI assigned

May 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Dr Tim Peterson PLLCGroup PAC ID 7113277633, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Tim Peterson, PLLC

  • Chiropractor
  • San Antonio, TX
  • NPI 1902391121
  Medicare reassignment Care Compare group NPD
• Peterson Chiropractic PLLC

  • Chiropractor
  • San Antonio, TX
  • NPI 1447427026
  NPD (past)

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1053168567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 GARDENDALE ST STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293476",
            "telephone_number": "210-691-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 GARDENDALE ST STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293476",
            "telephone_number": "210-691-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "MCKENZIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Sladecek
• John Michael Sladic, MD
• John Henry Sladky, M.D.
• Jessica Monique Slate, IONM
• Ann M Slater, LCSW
• Paul Louis Slattery, DDS
• Emily Slaughter, CSFA
• Larry G Slaughter
• Marian Elizabeth Slaughter, LPC
• Rachel Bourgeois Slaughter, DPT

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.