Individual provider Active NPI

Mackenzie Shuford, D.C.

  • Chiropractor
  • Sneads Ferry, NC
National Provider Identifier
1053865824
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5017 Issued in NC
Practice address
216 Salty Dog LN
Sneads Ferry, NC 28460-6011
Phone
(540) 645-3888
NPI assigned
Aug 10, 2016
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33661 CA
Chiropractor 111N00000X 5017 NC Primary

Addresses

Primary practice location

216 Salty Dog LN
Sneads Ferry, NC 28460-6011

Mailing address

216 Salty Dog LN
Sneads Ferry, NC 28460-6011
Phone (540) 645-3888

Other practice location 1

211 Silver Sands Rd
Sneads Ferry, NC 28460
Phone (540) 645-3888

Other practice location 2

2111 S El Camino Real Ste 301
Oceanside, CA 92054-9000
Phone (760) 435-9390

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Other
Other URL HTTPS://Jane.app

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tamai Chiropractic Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

2111 S El Camino Real
Ste 301
Oceanside, CA 92054
Phone (760) 206-3488

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1053865824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SALTY DOG LN",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284606011",
            "telephone_number": "540-645-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SALTY DOG LN",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284606011",
            "telephone_number": "540-645-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Silver Sands Rd",
            "address_purpose": "LOCATION",
            "city": "Sneads Ferry",
            "state": "NC",
            "postal_code": "28460",
            "country_code": "US",
            "telephone_number": "540-645-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 S El Camino Real Ste 301",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920549000",
            "country_code": "US",
            "telephone_number": "760-435-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUFORD",
        "first_name": "MACKENZIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33661",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "2111 S El Camino Real Ste 301",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920549000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HTTPS://Jane.app",
            "affiliation": "N",
            "endpointDescription": "Ehr",
            "address_1": "216 Salty Dog Ln",
            "city": "Sneads Ferry",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284606011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sneads Ferry, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.