Individual provider Active NPI

Gregory A McDonald, D.C.

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1285694521
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04746 Issued in IA
Practice address
943 S Gilbert St
Suite 1
Iowa City, IA 52240-4742
Phone
(319) 338-2273
Fax
(319) 338-1225
NPI assigned
Mar 23, 2006
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04746 IA Primary
Neurology Chiropractor 111NN0400X 124 IA
Sports Physician Chiropractor 111NS0005X 3036 IA
Orthopedic Chiropractor 111NX0800X 2388 IA

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

Other identifiers 3

IdentifierTypeStateIssuer
1185496MedicaidIA
18549OtherIAWELLMARK BCBS
8103OtherIAMIDLAND'S CHOICE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000945 IA Practitioner - Chiropractic 7214994904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

943 S Gilbert St
Iowa City, IA 52240-4761
Phone (319) 338-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04746IAMDChiropractor
124IAMDNeurology Chiropractor
3036IAMDSports Physician Chiropractor
2388IAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McDonald Chiropractic Care Clinic Chiropractor CurrentSince Jan 1, 2005 Accepting new patients

Locations

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1285694521",
    "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": {
        "last_name": "MCDONALD",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04746",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IA",
            "license": "124",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "3036",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IA",
            "license": "2388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1185496",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "18549",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE ID",
            "identifier": "8103",
            "state": "IA"
        }
    ],
    "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 3, 2010; 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.