Individual provider Active NPI

James M O'Donahue Jr., B.A., B.S., D.C.

  • Chiropractor
  • Winterville, NC
National Provider Identifier
1316922180
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NC2740 Issued in NC
Practice address
915 E Fire Tower Rd Ste 104
O'Donahue Chiropractic
Winterville, NC 28590-9398
Phone
(252) 756-0837
Fax
(252) 756-7718
NPI assigned
Dec 14, 2005
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NC2740 NC Primary

Addresses

Primary practice location

915 E Fire Tower Rd Ste 104
O'Donahue Chiropractic
Winterville, NC 28590-9398

Mailing address

915 E. Firetower Rd Suite 104
O'Donahue Chiropractic
Winterville, NC 28590
Phone (252) 756-0837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000138 NC Practitioner - Chiropractic 1951319797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

915 E Fire Tower Rd
Suite 104
Winterville, NC 28590-9398
Phone (252) 756-0837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
2740NCMDPsychologist
NC2740NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
O Donahue Chiropractic PC Chiropractor CurrentSince Oct 12, 1999 Accepting new patients

Locations

915 E Fire Tower Rd
Ste 104
Winterville, NC 28590
Phone (252) 756-0837

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1316922180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E. FIRETOWER RD SUITE 104",
            "address_2": "O'DONAHUE CHIROPRACTIC",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "28590",
            "telephone_number": "252-756-0837",
            "fax_number": "252-756-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E FIRE TOWER RD STE 104",
            "address_2": "O'DONAHUE CHIROPRACTIC",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909398",
            "telephone_number": "252-756-0837",
            "fax_number": "252-756-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONAHUE",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "B.A., B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "NC2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.