Organization Active NPI

Macdonald Chiropractic PC

  • Chiropractor
  • Woodstock, VA
National Provider Identifier
1467880674
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556627 Issued in VA
Legal business name
MACDONALD CHIROPRACTIC PC
Doing business as
Woodstock Chiropractic & Acupuncture Clinic
Practice address
712B N Main St
Woodstock, VA 22664-1816
Phone
(540) 459-4727
Fax
(540) 459-7989
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
William Cully Macdonald, D.C.NPI 1700043510
Title
Owner
Phone
(540) 459-4727

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 0104556627 VA Primary

Addresses

Primary practice location

712B N Main St
Woodstock, VA 22664-1816

Mailing address

712B N Main St
Woodstock, VA 22664-1816
Phone (540) 459-4727

Other names 1

  • Woodstock Chiropractic & Acupuncture Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615001743 VA Part B Supplier - Clinic/Group Practice 1153632377 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, VA

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": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1467880674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712B N MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641816",
            "telephone_number": "540-459-4727",
            "fax_number": "540-459-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712B N MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641816",
            "telephone_number": "540-459-4727",
            "fax_number": "540-459-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACDONALD CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CULLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-459-4727",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodstock Chiropractic & Acupuncture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.