Active NPI
Jon David McDonald, D.C.
- Chiropractor
- Breckenridge, MN
National Provider Identifier
1265749774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5693
- Practice address
- 2338 State Highway 210
Breckenridge, MN 56520-9665 - Phone
- (701) 866-3659
- NPI assigned
- Sep 3, 2010
- 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 | 5693 | MN | Primary |
Addresses
Primary practice location
2338 State Highway 210
Breckenridge, MN 56520-9665
Mailing address
2338 State Highway 210
Breckenridge, MN 56520-9665
Phone (701) 866-3659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1515 W Lincoln Ave
Fergus Falls, MN 56537-1065
Phone (218) 739-3216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5693 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gettel Chiropractic, P.a. | Chiropractor | Current | Accepting new patients |
Locations
1515 W Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 739-3216
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
- Fergus Falls, MN
- NPI 1144542333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1265749774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 STATE HIGHWAY 210",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565209665",
"telephone_number": "701-866-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 STATE HIGHWAY 210",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565209665",
"telephone_number": "701-866-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-03",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.