Active NPI
Donald Lee Mynster, DC
- Chiropractor
- Hermitage, TN
National Provider Identifier
1164563771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000000474
- Practice address
- 248 A Jackson Meadows Dr
Hermitage, TN 37076 - Phone
- (615) 889-0333
- Fax
- (615) 391-4137
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DC0000000474 | TN | Primary |
Addresses
Primary practice location
248 A Jackson Meadows Dr
Hermitage, TN 37076
Mailing address
Donald L. Mynster DC PC
248 A Jackson Meadows Dr
Hermitage, TN 37076
Phone (615) 889-0333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3042880 | Other | TN | BCBST |
| 4286872 | Other | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080407000373 | TN | Practitioner - Chiropractic | 6204913874 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
248 A Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone (615) 889-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000000474 | TN | MD | Chiropractor |
| 474 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald L. Mynster, DC PC | Chiropractor | Current | Accepting new patients |
Locations
248A Jackson Meadows Dr
Hermitage, TN 37076
Phone (615) 889-0333
Organizations & group practices 1
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.
-
- Chiropractor
- Hermitage, TN
- NPI 1750553970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1164563771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DONALD L. MYNSTER DC PC",
"address_2": "248 A JACKSON MEADOWS DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-889-0333",
"fax_number": "615-391-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 A JACKSON MEADOWS DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-889-0333",
"fax_number": "615-391-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYNSTER",
"first_name": "DONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000000474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "3042880",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4286872",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.