Jason Derek McDonald, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8350 Issued in AZ

Practice address

22711 S Ellsworth Rd # G106
Queen Creek, AZ 85142-6788

Phone

(480) 264-6800

Fax

(480) 300-4688

NPI assigned

Apr 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• JKM LLC

  • Chiropractor
  • Queen Creek, AZ
  • NPI 1083186969
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Public Hospital District #1-a of Whitman County

  • Critical Access Hospital
  • Pullman, WA
  • NPI 1366446767
  Care Compare affiliation

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1477971711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22711 S ELLSWORTH RD STE G106",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426788",
            "telephone_number": "480-264-6800",
            "fax_number": "480-300-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22711 S ELLSWORTH RD # G106",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426788",
            "telephone_number": "480-264-6800",
            "fax_number": "480-300-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JASON",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "8350",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaddeus Jordan McAlpin, DDS
• Daryn N McClure, M.D.
• Deann McCord
• Weston McDermott, DC
• Avie Gail Socorro Dela Cerna McDonald, SLP-CCC
• Jaylin McFarland, RBT
• Deborah Lynn McGarry, ACNP-BC
• Charles McKenzie, DDS
• Darrian Marisa McKiernan
• Mercadie McLaughlin, COTA/L

• Chiropractor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.