Individual provider Active NPI

Makenzie Jane Koehn, D.C.

  • Chiropractor
  • Addison, TX
National Provider Identifier
1891682134
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16250 Issued in TX
Practice address
4811 Broadway St
Addison, TX 75001-4694
Phone
(469) 719-5169
NPI assigned
Jun 19, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16250 TX Primary

Addresses

Primary practice location

4811 Broadway St
Addison, TX 75001-4694

Mailing address

3100 W Punk Carter Pkwy Apt 1810
Celina, TX 75009-3160
Phone (620) 253-6023

Other practice location 1

560 W Frontier Pkwy Ste 120
Prosper, TX 75078-3805
Phone (214) 656-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1891682134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W PUNK CARTER PKWY APT 1810",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093160",
            "telephone_number": "620-253-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 BROADWAY ST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014694",
            "telephone_number": "469-719-5169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W Frontier Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750783805",
            "country_code": "US",
            "telephone_number": "214-656-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "MAKENZIE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.