Individual provider Active NPI

Caleb Donnell, D.C.

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1538412036
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009909 Issued in MI
Practice address
5080 Gull Rd
Kalamazoo, MI 49048-1099
Phone
(269) 459-1339
Fax
(269) 456-1340
NPI assigned
Oct 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009909 MI Primary

Addresses

Primary practice location

5080 Gull Rd
Kalamazoo, MI 49048-1099

Mailing address

1230 Columbia Ave E
A
Battle Creek, MI 49014-5188
Phone (269) 964-1441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000725 MI Practitioner - Chiropractic 3072765916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5080 Gull Rd
Kalamazoo, MI 49048-1099
Phone (269) 459-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009909MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Donnell Chiropractic, LLC Chiropractor CurrentSince Jan 1, 2017 Accepting new patients

Locations

5080 Gull Rd
Kalamazoo, MI 49048
Phone (269) 459-1339

2314 Gull Rd
Ste A
Kalamazoo, MI 49048
Phone (269) 459-1339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1538412036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 COLUMBIA AVE E",
            "address_2": "A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145188",
            "telephone_number": "269-964-1441",
            "fax_number": "269-964-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481099",
            "telephone_number": "269-459-1339",
            "fax_number": "269-456-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELL",
        "first_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.