Organization Active NPI

Mackenzie J Jones PLLC

  • Chiropractor
  • Minot, ND
National Provider Identifier
1811405988
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
974 Issued in ND
Legal business name
MACKENZIE J JONES PLLC
Practice address
1407 S Broadway Ste 123
Minot, ND 58701
Phone
(701) 721-8264
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Dr. Mackenzie J Jones, DCNPI 1427460088
Title
Owner/Chiropractic
Phone
(701) 721-8264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 974 ND Primary

Addresses

Primary practice location

1407 S Broadway Ste 123
Minot, ND 58701

Mailing address

109 3Rd St NE
Surrey, ND 58785-7134
Phone (701) 721-8264

Other identifiers 2

IdentifierTypeStateIssuer
N722753OtherNDMEDICARE
81179MedicaidND

National Provider Directory

National Provider Directory

Locations

1407 S Broadway
Ste 123
Minot, ND 58701
Phone (701) 721-8264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1811405988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 3RD ST NE",
            "city": "SURREY",
            "state": "ND",
            "postal_code": "587857134",
            "telephone_number": "701-721-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S BROADWAY STE 123",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-721-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKENZIE J JONES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC",
        "authorized_official_telephone_number": "701-721-8264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "N722753",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81179",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.