Individual provider Active NPI

Daniel Mackay, D.C.

  • Chiropractor
  • Tigard, OR
National Provider Identifier
1144601451
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5643 Issued in OR
Practice address
7430 SW Cherry Dr
Tigard, OR 97223-8041
Phone
(503) 860-4672
Fax
(503) 296-5992
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5643 OR Primary

Addresses

Primary practice location

7430 SW Cherry Dr
Tigard, OR 97223-8041

Mailing address

1720 SE Haig St
Portland, OR 97202-2852
Phone (503) 894-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830001480 OR Practitioner - Chiropractic 1557656527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S2 Collaborations LLCGroup PAC ID 6709118698, 2 clinicians

Practice addresses (Care Compare)

1490 Commercial St
Suite 202
Astoria, OR 97103-3800
Phone (503) 325-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5643ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
S2 Collaborations LLC Chiropractor CurrentSince Nov 7, 2024 Accepting new patients
Weingard Wellness LLC Past Accepting new patients

Locations

1490 Commercial St
Ste 202
Astoria, OR 97103
Phone (503) 325-3311

4100 SW 109th Ave
Beaverton, OR 97005
Phone (503) 641-3444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1144601451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SE HAIG ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022852",
            "telephone_number": "503-894-0980",
            "fax_number": "503-296-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 SW CHERRY DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238041",
            "telephone_number": "503-860-4672",
            "fax_number": "503-296-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.