Active NPI
C. Blake McDonald, D.C.
- Chiropractor
- Glenwood Springs, CO
National Provider Identifier
1538400643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6785
- Practice address
- 2425 Grand Ave
Suite 105
Glenwood Springs, CO 81601-4180 - Phone
- (970) 930-1813
- NPI assigned
- Mar 14, 2013
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6785 | CO | Primary |
Addresses
Primary practice location
2425 Grand Ave
Suite 105
Glenwood Springs, CO 81601-4180
Mailing address
2425 Grand Ave
Glenwood Springs, CO 81601-4180
Phone (970) 930-1813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6785 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1538400643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 GRAND AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014180",
"telephone_number": "970-930-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 GRAND AVE",
"address_2": "SUITE 105",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014180",
"telephone_number": "970-930-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "C.",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-14",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.