Cameron Robert Mackichan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012800 Issued in IL

Practice address

2003 Round Barn Rd Ste B
Champaign, IL 61821-6828

Phone

(217) 281-0006

Fax

(217) 903-4152

NPI assigned

Apr 18, 2016

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2014

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.

• Healthsource Chiropractic of Champaign, S.C.

  • Clinic/Center
  • Champaign, IL
  • NPI 1023556164
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1487008272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 ROUND BARN RD STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216828",
            "telephone_number": "217-281-0006",
            "fax_number": "217-903-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 ROUND BARN RD STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216828",
            "telephone_number": "217-281-0006",
            "fax_number": "217-903-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKICHAN",
        "first_name": "CAMERON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Lyons
• Lacey Jo Lyons, RD
• Ashley Brooke Macdonald, H.I.S.
• Ciara Eileen Macenas
• Robert Francis Macfarlane III, ATC
• Sara C Mackus, MA
• Christine Madden
• Katherine R. Madigan, M.S. CCC-SLP
• Joseph Albert Madura, D.D.S.
• Rebekah Hadassah Magee

• Chiropractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.