Individual provider Active NPI

Gregory Udell Mackay, D.O

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1467557587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-745 Issued in NV
Practice address
6430 Sky Pointe Dr
150
Las Vegas, NV 89131-4050
Phone
(702) 655-2999
Fax
(702) 315-3773
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-745 NV Primary

Addresses

Primary practice location

6430 Sky Pointe Dr
150
Las Vegas, NV 89131-4050

Mailing address

6430 Sky Pointe Dr
150
Las Vegas, NV 89131-4050
Phone (702) 655-2999

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
B-745NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory U Mackay PLLC Chiropractor PastSince Apr 27, 2001 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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467557587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 SKY POINTE DR",
            "address_2": "150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314050",
            "telephone_number": "702-655-2999",
            "fax_number": "702-315-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 SKY POINTE DR",
            "address_2": "150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314050",
            "telephone_number": "702-655-2999",
            "fax_number": "702-315-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "GREGORY",
        "middle_name": "UDELL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.