Dr. Dalton J Mackay, MD
Family Medicine in Castle Rock, CO. Individual provider (NPI-1).
NPI number1801079488
StatusActive
Last updated in NPPESFeb 17, 2020
Details
- NPI
- 1801079488
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dalton J Mackay
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2007
- Certification date
- Feb 17, 2020
- Last updated
- Feb 17, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- May 30, 2020 to May 30, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 48378 | CO | Yes |
| 207Q00000X | Family Medicine | 25129 | OK |
Other names
- Dalton J Ellis (Former Name)
Practice location
651 Topeka Way Ste 600Castle Rock, CO 80109-3116
Phone 303-728-9661 · Fax 303-728-9786
Mailing address
651 Topeka Way Ste 600Castle Rock, CO 80109-3116
Phone 303-728-9661 · Fax 303-728-9786
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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