Organization Active NPI

Mack Chiropractic, LLC

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1972875565
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9782 Issued in FL
Legal business name
MACK CHIROPRACTIC, LLC
Practice address
1813 SW 1St Ave
Ocala, FL 34471-8167
Phone
(352) 622-1136
Fax
(352) 622-8544
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Dr. Beau Makarewicz, D.C.
Title
MGRM
Phone
(517) 410-3925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9782 FL Primary

Addresses

Primary practice location

1813 SW 1St Ave
Ocala, FL 34471-8167

Mailing address

PO Box 668
Ocala, FL 34478-0668
Phone (352) 622-1136

National Provider Directory

National Provider Directory

Locations

2202 SE 17th St
Ocala, FL 34471
Phone (352) 204-9866

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1972875565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344780668",
            "telephone_number": "352-622-1136",
            "fax_number": "352-622-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718167",
            "telephone_number": "352-622-1136",
            "fax_number": "352-622-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "MAKAREWICZ",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "517-410-3925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.