Individual provider Active NPI

Mackenzie Rose Martin, DC

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1225973787
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12411 Issued in AR
Practice address
3761 N Mall Ave Ste 3
Fayetteville, AR 72703-4972
Phone
(479) 435-6888
NPI assigned
Apr 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12411 AR Primary

Addresses

Primary practice location

3761 N Mall Ave Ste 3
Fayetteville, AR 72703-4972

Mailing address

3761 N Mall Ave Ste 3
Fayetteville, AR 72703-4972
Phone (479) 435-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 N Banner Ave
Farmington, AR 72730-3197

3761 N Mall Ave
Suite 3
Fayetteville, AR 72703-4972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12411ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abide Chiropractic LLC Chiropractor CurrentSince Jun 14, 2026 Accepting new patients

Locations

3761 N Mall Ave
Ste 3
Fayetteville, AR 72703
Phone (479) 200-7220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1225973787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 N MALL AVE STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034972",
            "telephone_number": "479-435-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 N MALL AVE STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034972",
            "telephone_number": "479-435-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MACKENZIE",
        "middle_name": "ROSE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.