Individual provider Active NPI

Mindal R. Donner, DC

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1366524951
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556333 Issued in VA
Practice address
2316 Saint Brides Rd W
Chesapeake, VA 23322-2215
Phone
(757) 642-2735
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556333 VA Primary

Addresses

Primary practice location

2316 Saint Brides Rd W
Chesapeake, VA 23322-2215

Mailing address

2316 Saint Brides Rd W
Chesapeake, VA 23322-2215
Phone (757) 642-2735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001434 VA Practitioner - Chiropractic 7113962879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

392 Battlefield Blvd S
Suite 101
Chesapeake, VA 23322-5364
Phone (757) 500-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556333VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mindal Donner, PLLC Chiropractor CurrentSince Dec 22, 2019 Accepting new patients
Damin, Inc Chiropractor PastSince Jan 1, 2015 Accepting new patients

Locations

392 Battlefield Blvd S
Ste 101
Chesapeake, VA 23322
Phone (757) 500-3506

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1366524951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SAINT BRIDES RD W",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222215",
            "telephone_number": "757-642-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 SAINT BRIDES RD W",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222215",
            "telephone_number": "757-642-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "MINDAL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.