Kenneth Donovan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2688 Issued in NC

Practice address

3715 Patriot Way Ste 143
Wilmington, NC 28412-6901

Phone

(910) 395-2774

Fax

(910) 395-2474

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Atlantic Chiropractic Clinic

  • Chiropractor
  • Wilmington, NC
  • NPI 1871793802
  Medicare reassignment NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083723597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 PATRIOT WAY STE 143",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126901",
            "telephone_number": "910-395-2774",
            "fax_number": "910-395-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PATRIOT WAY STE 143",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126901",
            "telephone_number": "910-395-2774",
            "fax_number": "910-395-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "085T2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Donato, RBT
• Alicia Donatone, OCCUPATIONAL THERAPI
• Brian Donner, D.O.
• Mary Ann Donohue, PT
• John Scott Donovan, P.T.
• Christopher F Donovin, PA
• Kyle W Dore, PA-C
• George Dorman
• Linda Dorman, MSW, LMSW, LCAS
• David Samuel Dorsey, LCSW, OTR/L, LSSW

• Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.