Active NPI
Dondee Nettles Jr., D.C.
- Rehabilitation Chiropractor
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 8017
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8107 | AZ | MD | General Practice Dentistry |
| 8017 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenway303 Chiropractic P.C. | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.