Mack Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MACK CHIROPRACTIC, PC

Practice address

658 Ridge Rd
Webster, NY 14580-2350

Phone

(585) 671-0882

Fax

(585) 671-2417

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J. Mack Jr., D.C.

Title

VP

Phone

(585) 671-0882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Daniel J Mack Jr., D.C.

  • Chiropractor
  • Webster, NY
  • NPI 1245252766
  Medicare reassignment NPD
• Daniel Joseph Mack Sr., DC

  • Rehabilitation Chiropractor
  • Webster, NY
  • NPI 1265506562
  Medicare reassignment NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1184642084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802350",
            "telephone_number": "585-671-0882",
            "fax_number": "585-671-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802350",
            "telephone_number": "585-671-0882",
            "fax_number": "585-671-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "585-671-0882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Luke, DPT
• Darcy Lyndaker, DPT
• Jennifer Maccollum, MS ED
• Helen Marie Macdonald
• Cara Maciag
• Daniel J Mack Jr., D.C.
• Daniel Joseph Mack Sr., DC
• Elena Maenza
• Tracy L Maier, D.O.
• Hollie K Maimone, M.S. CCC-SLP

• Chiropractor in Webster, NY
• Providers in Webster, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.