Mackenzie Durkee Smith

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4867 Issued in NC

Practice address

4817 Hargrove Rd Ste 105
Raleigh, NC 27616-1893

Phone

(585) 683-1194

NPI assigned

Dec 19, 2017

Last updated

Dec 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MDS Chiropractic & Rehabilitation

  dba Core Foundations Chiropractic

  • Chiropractor
  • Cary, NC
  • NPI 1922884105
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1932615424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 HARGROVE RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 HARGROVE RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161893",
            "telephone_number": "585-683-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MACKENZIE",
        "middle_name": "DURKEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrella Smith
• Lauren Elizabeth Smith, LCSWA
• Leslie Smith, M.S., CCC-A
• Logan Michael Smith, MD
• Lyman S-W Smith, MD
• Madison Smith
• Marisa Danielle Smith, PA
• Marsha Marek Smith, MD
• Maxwell Hopkins Smith, DC
• Mellissa Leeanne Smith

• Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.