Active NPI
Deborah R Mackenzie, DDS
- Dentist
- Buckeye, AZ
National Provider Identifier
1487237376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10355
- Practice address
- Aspc-Lewis
26700 South Highway 85
Buckeye, AZ 85326 - Phone
- (480) 651-3624
- NPI assigned
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10355 | AZ | Primary |
Addresses
Primary practice location
Aspc-Lewis
26700 South Highway 85
Buckeye, AZ 85326
Mailing address
21562 N 72ND Way
Scottsdale, AZ 85255-4735
Phone (760) 417-3526
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1487237376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21562 N 72ND WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554735",
"telephone_number": "760-417-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ASPC-LEWIS",
"address_2": "26700 SOUTH HIGHWAY 85",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "85326",
"telephone_number": "480-651-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKENZIE",
"first_name": "DEBORAH",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "10355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.