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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: August 09, 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
Phone(651) 779-4263
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
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Other Identifiers 1

Medicare UPINU90913MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

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.

DR. DEAN BOYD JOY D.C.
Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115
Washington County (651) 779-4263
DR. PATRICK GIRARD NAPOLI D.C.
Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115
Washington County (651) 779-4263
WILDWOOD CHIROPRACTIC CENTER PA
Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115
Washington County (651) 779-4263
DR. SCOTT ALLEN DEPAULIS D.C.
Chiropractor
935 WILDWOOD RD
WHITE BEAR LAKE, MN 55115
Washington County (651) 779-4263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mack's NPI number?

The NPI number for John Mack is 1235276221. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is John Mack located?

John Mack practices at 935 Wildwood Rd, White Bear Lake, MN 55115. The listed phone number is (651) 779-4263.

What is John Mack's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is John Mack enrolled in Medicare?

Yes. John Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Mack accept?

Health plans from HealthPartners and Medica list John Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Mack was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.