Individual provider Active NPI

Dondee Nettles Jr., D.C.

  • Rehabilitation Chiropractor
  • Goodyear, AZ
National Provider Identifier
1457497893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8017 Issued in AZ
Practice address
250 N Litchfield Rd
Suite 205
Goodyear, AZ 85338-1333
Phone
(623) 298-2180
Fax
(623) 298-2178
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8017 AZ Primary

Addresses

Primary practice location

250 N Litchfield Rd
Suite 205
Goodyear, AZ 85338-1333

Mailing address

250 N Litchfield Rd
Suite 205
Goodyear, AZ 85338-1333
Phone (623) 298-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - West Sunnyvale, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16995 W Greenway Rd
Suite 102
Surprise, AZ 85388-9609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8107AZMDGeneral Practice Dentistry
8017AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenway303 Chiropractic P.C. CurrentSince Mar 5, 2025 Accepting new patients

Locations

16995 W Greenway Rd
Ste 102
Surprise, AZ 85388
Phone (623) 433-8895

16995 W Greenway Rd
Ste 10
Surprise, AZ 85388
Phone (623) 433-8895

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457497893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD",
            "address_2": "SUITE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381333",
            "telephone_number": "623-298-2180",
            "fax_number": "623-298-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD",
            "address_2": "SUITE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381333",
            "telephone_number": "623-298-2180",
            "fax_number": "623-298-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "DONDEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "8017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.