Individual provider Active NPI

McKenzie Dodson, DC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1972480580
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9469 Issued in AZ
Practice address
7254 E Southern Ave
Mesa, AZ 85209-2786
Phone
(480) 807-1324
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 9469 AZ Primary

Addresses

Primary practice location

7254 E Southern Ave
Mesa, AZ 85209-2786

Mailing address

1233 S Gilbert Rd Apt 3206
Gilbert, AZ 85296-4901
Phone (636) 387-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251226000869 AZ Practitioner - Chiropractic 1557857786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Health Innovations PLCGroup PAC ID 7012925332, 4 clinicians

Practice addresses (Care Compare)

7254 E Southern Ave
Suite 113
Mesa, AZ 85209-2787
Phone (480) 807-1324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9469AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Innovations, PLC Chiropractor CurrentSince Dec 12, 2025 Accepting new patients

Locations

7254 E Southern Ave
Ste 113
Mesa, AZ 85209
Phone (480) 588-2233

Organizations & group practices 1

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1972480580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 S GILBERT RD APT 3206",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964901",
            "telephone_number": "636-387-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "480-807-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "MCKENZIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.