Dalton J Mackay, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48378 Issued in CO

Practice address

651 Topeka Way Ste 600
Castle Rock, CO 80109-3116

Phone

(303) 728-9661

Fax

(303) 728-9786

NPI assigned

Dec 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dalton J Ellis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 30, 2020 through May 30, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13495/brand/1/csg/1/fhir/r4
• Direct secure messaging: dalton.mackay@hca3.eclinicaldirectplus.com

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.

• Douglas Family Medicine, P.C.

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1770602013
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1801079488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 TOPEKA WAY STE 600",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093116",
            "telephone_number": "303-728-9661",
            "fax_number": "303-728-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 TOPEKA WAY STE 600",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093116",
            "telephone_number": "303-728-9661",
            "fax_number": "303-728-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "DALTON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25129",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91584078",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALTON",
            "last_name": "ELLIS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William H Lyles, OTR
• Briana Christina Lynn, LCSW
• Kristin Leigh Mabbutt
• Carol L Maccallum, NP
• Amanda Marie Macdonnell, APN-C
• Janet Karen Madrid, RDH
• Andrea Madsen, LPCC
• Sean W Magill, MSW., LCSW
• Maher Counseling, LLC
• Velami Kaye Maher, MA, LMFT, LPC

• Family Medicine Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.