Mack Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010285 Issued in MI

Legal business name

MACK CHIROPRACTIC

Practice address

2901 W Michigan Ave
Jackson, MI 49202-1805

Phone

(517) 748-7799

Fax

(833) 300-9391

NPI assigned

Feb 22, 2018

Last updated

Sep 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Kirk Mack, DCNPI 1386034486

Title

Clinic Director

Phone

(517) 748-7799

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Kirk Mack, D.C.

  • Chiropractor
  • Jackson, MI
  • NPI 1386034486
  Medicare reassignment Care Compare group Authorized official
• Jessica Coleman, DC

  • Chiropractor
  • Holt, MI
  • NPI 1720691314
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1104327493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 RIVES JUNCTION RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019453",
            "telephone_number": "517-990-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021805",
            "telephone_number": "517-748-7799",
            "fax_number": "833-300-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "517-748-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386034486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Kathleen Lyons
• Jennifer Ann Maccagnano, D.O.
• Terrance Wayne Macgregor, MD
• Deepa S Macha, MD
• Mahender Macha, MD
• Joshua Kirk Mack, D.C.
• Morgan Olivia Mackley
• Karen M Macpherson, CNP
• Pamela Jean Macquaig, LMSW, ACSW
• Laura Maes, LPC NCC

• Chiropractor in Jackson, MI
• Providers in Jackson, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.