Michael McDonald, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

96547801202 Issued in UT

Practice address

155 W a St
Springfield, OR 97477-4516

Phone

(541) 747-4555

Fax

(541) 896-3105

NPI assigned

May 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heresco Chiropractic and Associates PC

  • Chiropractor
  • Corvallis, OR
  • NPI 1326045626
  Medicare reassignment NPD

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1346697091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W A ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774516",
            "telephone_number": "541-747-4555",
            "fax_number": "541-896-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W A ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774516",
            "telephone_number": "541-747-4555",
            "fax_number": "541-896-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "96547801202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy McCourt
• Rebekah McCoy, LPN
• Alexander Harry McCulley, D.P.T.
• Bethany Lynn Thompson McDonald, O.D.
• Charles McDonald Jr., RRT
• Gilbert Griffith McEwen, MS, LPC, NCC,
• Matthew C McFall, LMT
• Joe Robert McFarlane III, MD
• Derek J McFaul, DO
• Robin Ashley McGee, RPH

• Chiropractor in Springfield, OR
• Providers in Springfield, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.