Active NPI
William Paul McDonald, DC
- Chiropractor
- Charleston, WV
National Provider Identifier
1063502045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 398
- Practice address
- 220 Washington St W
Charleston, WV 25302 - Phone
- (304) 345-1466
- Fax
- (304) 345-1469
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 398 | WV | Primary |
Addresses
Primary practice location
220 Washington St W
Charleston, WV 25302
Mailing address
220 Washington St W
Charleston, WV 25302
Phone (304) 345-1466
Other practice location 1
114 Washington St W
2nd floor
Charleston, WV 25302-2358
Phone (304) 345-1466
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131285000 | Medicaid | WV | |
| 001720504 | Other | WV | MT STATE BLUE CROSS/SHIEL |
| 55-0649349 | Other | FEIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1063502045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25302",
"telephone_number": "304-345-1466",
"fax_number": "304-345-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25302",
"telephone_number": "304-345-1466",
"fax_number": "304-345-1469"
}
],
"practiceLocations": [
{
"address_1": "114 Washington St W",
"address_2": "2nd floor",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253022358",
"country_code": "US",
"telephone_number": "304-345-1466",
"fax_number": "304-345-1469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "WILLIAM",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131285000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE BLUE CROSS/SHIEL",
"identifier": "001720504",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN #",
"identifier": "55-0649349",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.