Mackenzie Jo Stodola, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5590 Issued in MN

Practice address

2110 Eagle Creek LN Ste 400
Woodbury, MN 55129-3209

Phone

(612) 293-9294

NPI assigned

Jan 11, 2012

Sex

Female

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodbury Family ChiropracticGroup PAC ID 5092943837, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Woodbury Family Chiropractic

  • Chiropractor
  • Woodbury, MN
  • NPI 1427479617
  Medicare reassignment Care Compare group NPD
• Attune Chiropractic and Natural Health, PLLC

  • Chiropractor
  • Prior Lake, MN
  • NPI 1750512950
  NPD (past)
• Hermsen Health and Wellness, PLLC

  dba HealthSource of Prior Lake

  • Chiropractor
  • Prior Lake, MN
  • NPI 1528457645
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1699045336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 EAGLE CREEK LN STE 400",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293209",
            "telephone_number": "612-293-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EAGLE CREEK LN STE 400",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293209",
            "telephone_number": "612-293-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODOLA",
        "first_name": "MACKENZIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Irwin Stewart, MS LP
• Mark Stickler
• Michael N Stiffman, MD
• Amber Marie Stitz, RN
• Julia D Stobbe, M.D.
• Jon J Stoffer, DO
• Kara L Stone, SLP
• Jessica Stoner, PT, DPT
• Elizabeth Storm
• Victoria Stovall, OWNER

• Chiropractor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.