Daniel J Mack Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007814-1 Issued in NY

Practice address

658 Ridge Rd
Webster, NY 14580-2350

Phone

(585) 671-0882

Fax

(585) 671-2417

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mack Chiropractic, PC

  • Chiropractor
  • Webster, NY
  • NPI 1184642084
  Medicare reassignment NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245252766",
    "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": {
        "last_name": "MACK",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007814-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Lyndaker, DPT
• Jennifer Maccollum, MS ED
• Helen Marie Macdonald
• Cara Maciag
• Mack Chiropractic, PC
• Daniel Joseph Mack Sr., DC
• Elena Maenza
• Tracy L Maier, D.O.
• Hollie K Maimone, M.S. CCC-SLP
• Laurie A Maio

• 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 Jul 8, 2007; 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.