John McDonald, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002971A Issued in IN

Practice address

700 Murdock St
Suite B
Sedro Woolley, WA 98284-1426

Phone

(360) 855-1021

Fax

(360) 855-0356

NPI assigned

Aug 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kauffman Chiropractic

  • Chiropractor
  • Crown Point, IN
  • NPI 1114149366
  Medicare reassignment NPD

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1013462373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PARTLOW DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645765",
            "telephone_number": "630-926-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MURDOCK ST",
            "address_2": "SUITE B",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841426",
            "telephone_number": "360-855-1021",
            "fax_number": "360-855-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002971A",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60675217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Marie Matthew
• Richard John Matthew
• Jasmine Mele Maxey, RN
• Jane Mayer, ARNP
• Jennifer Ann McCabe, RN
• Kerry Lynn McGoff, P160320992
• Ryan McIntyre
• Heather Susan McKay-Maddox, MSN-HSL
• Gaia Lynn McKee
• Katrina Mae McKinney

• All providers in Sedro Woolley, WA
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.