Individual provider Active NPI

Marjorie Mackenzie, DC

  • Rehabilitation Chiropractor
  • Dover, DE
National Provider Identifier
1790835916
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
F1-0000601 Issued in DE
Practice address
200 Banning St
Suite 350
Dover, DE 19904-3485
Phone
(302) 730-8848
Fax
(302) 730-8846
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X F1-0000601 DE Primary

Addresses

Primary practice location

200 Banning St
Suite 350
Dover, DE 19904-3485

Mailing address

200 Banning St
Ste 350
Dover, DE 19904-3485
Phone (302) 730-8848

Other identifiers 7

IdentifierTypeStateIssuer
113058OtherDECOVENTRY
298136OtherDEMAMSI
386606CHIOtherDEBLUE CROSS & BLUE SHIELD
2257287000OtherDEAMERIHEALTH HMO
648927OtherDEUNITED HEALTH CARE
1577494OtherDEAMERIHEALTH PPO
3988000OtherDECIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000667 DE Practitioner - Chiropractic 6305032681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates PAGroup PAC ID 7416948526, 15 clinicians

Practice addresses (Care Compare)

1006 College Rd
Suite 201
Dover, DE 19904-6507
Phone (302) 730-8848

29 N E St
Smyrna, DE 19977-1413
Phone (302) 389-2225

87 Omega Dr
BLDG B
Newark, DE 19713-2065
Phone (302) 733-0980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates, P.a. CurrentSince Mar 1, 2001 Accepting new patients
Rehabilitation Associates CurrentSince Mar 1, 2001 Accepting new patients

Locations

200 Banning St
Ste 350
Dover, DE 19904
Phone (302) 730-8848

1006 College Rd
Ste 201
Dover, DE 19904
Phone (302) 730-4907

200 Biddle Ave
Ste 204
Newark, DE 19702
Phone (302) 832-3369

87 Omega Dr
#B
Newark, DE 19713
Phone (302) 733-0980

29 N East St
Smyrna, DE 19977
Phone (302) 389-2225

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1790835916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "STE 350",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-730-8848",
            "fax_number": "302-730-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "SUITE 350",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-730-8848",
            "fax_number": "302-730-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "113058",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "298136",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE  SHIELD",
            "identifier": "386606CHI",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2257287000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "648927",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1577494",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3988000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.