Organization Active NPI

Macdonald Chiropractic Clinic PC

  • Chiropractor
  • Flint, MI
National Provider Identifier
1396271995
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010514 Issued in MI
Legal business name
MACDONALD CHIROPRACTIC CLINIC PC
Practice address
5154 Miller Rd
Ste. J
Flint, MI 48507-1065
Phone
(810) 733-0310
Fax
(810) 733-5554
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Dr. Adam James Macdonald, D.C.NPI 1124561311
Title
President
Phone
(810) 733-0310

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 2301010514 MI Primary

Addresses

Primary practice location

5154 Miller Rd
Ste. J
Flint, MI 48507-1065

Mailing address

5154 Miller Rd
Ste. J
Flint, MI 48507-1065
Phone (810) 733-0310

Other names 1

  • Ryckman Chiropractic PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170510001828 MI Part B Supplier - Clinic/Group Practice 5294012761 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1396271995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD",
            "address_2": "STE. J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-733-0310",
            "fax_number": "810-733-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD",
            "address_2": "STE. J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-733-0310",
            "fax_number": "810-733-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACDONALD CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-733-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryckman Chiropractic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.