Organization Active NPI

Jonathan L Donner DC PC

  • Chiropractor
  • Fairport, NY
National Provider Identifier
1326239245
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8805 Issued in NY
Legal business name
JONATHAN L DONNER DC PC
Practice address
6605 Pittsford Palmyra Rd
Suite E9
Fairport, NY 14450-3407
Phone
(585) 223-1580
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Jonathan Lee Donner, BS, DCNPI 1902871460
Title
Ceo
Phone
(585) 223-1580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8805 NY Primary

Addresses

Primary practice location

6605 Pittsford Palmyra Rd
Suite E9
Fairport, NY 14450-3407

Mailing address

6605 Pittsford Palmyra Rd
Suite E9
Fairport, NY 14450-3407
Phone (585) 223-1580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111104000392 NY Part B Supplier - Clinic/Group Practice 0042483182 Receives reassigned benefits from 1 practitioner
Practice locations: Fairport, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1326239245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 PITTSFORD PALMYRA RD",
            "address_2": "SUITE E9",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503407",
            "telephone_number": "585-223-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 PITTSFORD PALMYRA RD",
            "address_2": "SUITE E9",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503407",
            "telephone_number": "585-223-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN L DONNER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-223-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "8805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.