Active NPI
Mitchell Mackey, DC
- Chiropractor
- Palm Beach Gardens, FL
National Provider Identifier
1073266789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13896
- Practice address
- 11825 Lake Victoria Gardens Ave
Palm Beach Gardens, FL 33410 - Phone
- (816) 294-7472
- NPI assigned
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 13896 | FL | Primary |
Addresses
Primary practice location
11825 Lake Victoria Gardens Ave
Palm Beach Gardens, FL 33410
Mailing address
17966 62ND Rd N
Loxahatchee, FL 33470-3217
Phone (816) 294-7472
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 |
|---|---|---|---|
| 13896 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1073266789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17966 62ND RD N",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334703217",
"telephone_number": "816-294-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11825 LAKE VICTORIA GARDENS AVE",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33410",
"telephone_number": "816-294-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.