DR. JOHN ROBERT MACK D.C.
NPI 1235276221
Chiropractor in White Bear Lake, MN

Active since January 31, 2007Accepts Medicare Assignment
935 WILDWOOD RD, WHITE BEAR LAKE, MN 55115(651) 779-4263(651) 779-4274 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Robert Mack D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN ROBERT MACK D.C. (NPI 1235276221) is an individual chiropractor in White Bear Lake, Minnesota, licensed in Minnesota (4261) and active in the NPI registry since January 2007. He is a graduate of Northwestern College Of Chiropractic (2001).

NPPES Registry Identity

NPI1235276221
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN ROBERT MACKCredential: D.C.
Location Address935 WILDWOOD RDWhite Bear Lake, MN 55115-1847
Mailing Address935 Wildwood RdWhite Bear Lake, MN 55115-1847 · (651) 779-4263 · Fax (651) 779-4274
Fax(651) 779-4274
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2001
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1235276221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 4261
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

935 WILDWOOD RD, White Bear Lake, MN 55115

Other Identifiers 1

Medicare UPINU90913MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Robert Mack D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173659174
PECOS Enrollment IDI20100330000042

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
214 services19 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115
Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115
Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115
Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235276221, enumerated as an "individual" on January 31, 2007.

The provider is located at 935 WILDWOOD RD WHITE BEAR LAKE, MN 55115 and the phone number is (651) 779-4263.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.