Individual provider Active NPI

Ryan Donahue, DC

  • Chiropractor
  • Clive, IA
National Provider Identifier
1013480706
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
094206 Issued in IA
Practice address
2555 Berkshire Pkwy Ste F
Clive, IA 50325-4646
Phone
(515) 987-6332
NPI assigned
Jan 6, 2019
Last updated
Jan 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 094206 IA Primary

Addresses

Primary practice location

2555 Berkshire Pkwy Ste F
Clive, IA 50325-4646

Mailing address

6240 NW 106TH St Apt 110
Johnston, IA 50131-2463
Phone (712) 251-5737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002119 IA Practitioner - Chiropractic 4688913031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shaw Chiropractic and Sports Injury CenterGroup PAC ID 6103050240, 3 clinicians

Practice addresses (Care Compare)

2555 Berkshire Pkwy
Suite F
Clive, IA 50325-4646
Phone (515) 987-6332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Clinic LLC Chiropractor PastSince Feb 6, 2019 Accepting new patients

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEBAA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1013480706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 NW 106TH ST APT 110",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312463",
            "telephone_number": "712-251-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 BERKSHIRE PKWY STE F",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254646",
            "telephone_number": "515-987-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "094206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.