Andrew Michael Mackie, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC34199 Issued in CA

Practice address

4247 Telegraph Rd
Ventura, CA 93003-3705

Phone

(805) 644-5563

NPI assigned

Sep 26, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cocain Chiropractic Corporation

  • Chiropractor
  • Ventura, CA
  • NPI 1629149281
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1558846402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033705",
            "telephone_number": "805-644-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033705",
            "telephone_number": "805-644-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Macias, LCSW
• Selena Macias, RBT
• Kris Donna Mack, M.S., MFT
• Allan Mackenzie
• Kelli Mackenzie, D.O.
• Katherine Macleod
• Maddalena Chiropractic
• Larry Maddalena, D.C.
• Bret David Maddux, DPT
• Arnez Madison

• Chiropractor in Ventura, CA
• Providers in Ventura, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.