Active NPI
Craig E Donovan, D.C.
- Chiropractor
- Bellevue, WA
National Provider Identifier
1245535236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60171316
- Practice address
- 2320 130TH Ave NE Ste 210
Bellevue, WA 98005-1752 - Phone
- (425) 688-7901
- NPI assigned
- Jan 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31691 | CA | |
| Chiropractor | 111N00000X | CH 60171316 | WA | Primary |
Addresses
Primary practice location
2320 130TH Ave NE Ste 210
Bellevue, WA 98005-1752
Mailing address
2320 130TH Ave NE Ste 210
Bellevue, WA 98005-1752
Phone (425) 688-7901
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60171316 | WA | MD | Chiropractor |
| 31691 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1245535236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 130TH AVE NE STE 210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051752",
"telephone_number": "425-688-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 130TH AVE NE STE 210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051752",
"telephone_number": "425-688-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "CRAIG",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-21",
"last_updated": "2021-08-09",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31691",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60171316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.