Dade W. Donovan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

26042 Issued in CA

Practice address

700 S Claremont St
Suite 111
San Mateo, CA 94402-1452

Phone

(650) 348-4233

Fax

(650) 348-4269

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1225092570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S CLAREMONT ST",
            "address_2": "SUITE 111",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021452",
            "telephone_number": "650-348-4233",
            "fax_number": "650-348-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S CLAREMONT ST",
            "address_2": "SUITE 111",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021452",
            "telephone_number": "650-348-4233",
            "fax_number": "650-348-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "DADE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "26042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0260420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Donley-Ahlvin
• Roberto Donlucas
• Sean P Donnelly, PEER SUPPORT SPECIAL
• Rose-Anne Donner, PH.D
• Kathleen M. Donohue, PH.D.
• Margaret Dougherty
• Adia Douglas
• Diana Douglass, MD
• Sarah Doung
• Paulette Dow

• Chiropractor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.