Individual provider Active NPI

McKenzie Lynn Kerner, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1871293878
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4605 Issued in OK
Practice address
14100 Parkway Commons Dr Ste 202
Oklahoma City, OK 73134-6104
Phone
(405) 749-2749
NPI assigned
Mar 8, 2023
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4605 OK Primary

Addresses

Primary practice location

14100 Parkway Commons Dr Ste 202
Oklahoma City, OK 73134-6104

Mailing address

14100 Parkway Commons Dr Ste 202
Oklahoma City, OK 73134-6104
Phone (405) 740-3995

Other names 1

  • McKenzie Lynn Downey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230405001248 NC Practitioner - Chiropractic 2668847690 Reassigns benefits to 1 organization
I20240610001833 OK Practitioner - Chiropractic 2668847690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jack E. Marshall M.D. LLCGroup PAC ID 6901044346, 7 clinicians

Practice addresses (Care Compare)

14100 Pkwy Commons Dr
Suite 201
Oklahoma City, OK 73134-6104
Phone (405) 749-2765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5590NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Balance, PA Chiropractor CurrentSince Mar 22, 2023 Accepting new patients
Osh Pain Management Associates, LLC Chiropractor CurrentSince May 6, 2024 Accepting new patients
Back in Balance, PA Chiropractor PastSince Mar 1, 2023 Accepting new patients

Locations

1089 Hendersonville Rd
Asheville, NC 28803
Phone (828) 274-9799

14100 Parkway Commons Dr
Ste 201
Oklahoma City, OK 73134
Phone (405) 242-4720

14100 Parkway Commons Dr
Ste 202
Oklahoma City, OK 73134
Phone (405) 749-2749

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1871293878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346104",
            "telephone_number": "405-740-3995",
            "fax_number": "405-749-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346104",
            "telephone_number": "405-749-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNER",
        "first_name": "MCKENZIE",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "DOWNEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.