Individual provider Active NPI

Mackenzie B Pamer, D.C.

  • Chiropractor
  • Powell, OH
National Provider Identifier
1467473082
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2868 Issued in OH
Practice address
246 W Olentangy St
Powell, OH 43065-8434
Phone
(614) 798-1419
Fax
(614) 798-1430
NPI assigned
Jul 21, 2006
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2868 OH Primary

Addresses

Primary practice location

246 W Olentangy St
Powell, OH 43065-8434

Mailing address

246 W Olentangy St
Powell, OH 43065-8434
Phone (614) 798-1419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000903 OH Practitioner - Chiropractic 8921900093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

246 W Olentangy St
Powell, OH 43065-8434
Phone (614) 798-1419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2868OHMDRegistered Dietitian

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1621382400000",
    "number": "1467473082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W OLENTANGY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658434",
            "telephone_number": "614-798-1419",
            "fax_number": "614-798-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W OLENTANGY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658434",
            "telephone_number": "614-798-1419",
            "fax_number": "614-798-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMER",
        "first_name": "MACKENZIE",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.