Active NPI
Craig D Mackey, D.C.
- Nutrition Chiropractor
- Danville, KY
National Provider Identifier
1316967136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 4129
- Practice address
- 100 Baughman Ave.
Suite B
Danville, KY 40422 - Phone
- (859) 238-9300
- Fax
- (859) 238-9977
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4129 | KY | |
| Nutrition Chiropractor | 111NN1001X | 4129 | KY | Primary |
Addresses
Primary practice location
100 Baughman Ave.
Suite B
Danville, KY 40422
Mailing address
PO Box 356
Danville, KY 40423-0356
Phone (859) 238-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000382972 | Other | KY | ANTHEM BC/BS |
| 85000164 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4129 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmer F True DC PSC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Danville, KY
- NPI 1972709251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1316967136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 356",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404230356",
"telephone_number": "859-238-9300",
"fax_number": "859-238-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BAUGHMAN AVE.",
"address_2": "SUITE B",
"city": "DANVILLE",
"state": "KY",
"postal_code": "40422",
"telephone_number": "859-238-9300",
"fax_number": "859-238-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "CRAIG",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4129",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "KY",
"license": "4129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000382972",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85000164",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.