Organization Active NPI

McDonald Chiropractic Care Clinic

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1164529814
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04746 Issued in IA
Legal business name
MCDONALD CHIROPRACTIC CARE CLINIC
Practice address
943 S Gilbert St
Suite 1
Iowa City, IA 52240-4742
Phone
(319) 338-2273
Fax
(319) 338-1225
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Dr. Gregory A McDonald, D.C.NPI 1285694521
Title
President
Phone
(319) 338-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 04746 IA Primary

Addresses

Primary practice location

943 S Gilbert St
Suite 1
Iowa City, IA 52240-4742

Mailing address

943 S Gilbert St
Suite 1
Iowa City, IA 52240-4742
Phone (319) 338-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050312000074 IA Part B Supplier - Clinic/Group Practice 9436104445 Receives reassigned benefits from 1 practitioner
Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

943 S Gilbert St
Ste 1
Iowa City, IA 52240
Phone (319) 338-2273

934 S Gilbert St
Iowa City, IA 52240
Phone (319) 338-2273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1164529814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S GILBERT ST",
            "address_2": "SUITE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404742",
            "telephone_number": "319-338-2273",
            "fax_number": "319-338-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S GILBERT ST",
            "address_2": "SUITE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404742",
            "telephone_number": "319-338-2273",
            "fax_number": "319-338-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD CHIROPRACTIC CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-338-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.