Donner Family Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1687 Issued in MN

Legal business name

DONNER FAMILY CHIROPRACTIC PA

Practice address

412 19TH Ave SW
Willmar, MN 56201-5297

Phone

(320) 235-8380

Fax

(320) 235-8381

NPI assigned

Nov 1, 2007

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin R Donner, DCNPI 1750541033

Title

Ceo

Phone

(320) 235-8380

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Pauly Chiropractic Center PA Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin R Donner, DC

  • Chiropractor
  • Willmar, MN
  • NPI 1750541033
  Authorized official Same address or phone

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1508045055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015297",
            "telephone_number": "320-235-8380",
            "fax_number": "320-235-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015297",
            "telephone_number": "320-235-8380",
            "fax_number": "320-235-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNER FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-235-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "755007",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332727200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43232PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350046462",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C03815",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pauly Chiropractic Center PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Divine Home Care, Inc. (Divine Hospice Care)
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• Divine House II Inc. (Willmar ICF-MR)
• Divine House, Inc.
• Kent Joseph Donelan, MD
• Benjamin R Donner, DC
• Ciara Double, RNFA
• Kristi Downing, LMFT
• William Michael Doyle, M.D.
• Dr. Ross G. Olness DDS PLLC

• Chiropractor in Willmar, MN
• Providers in Willmar, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.