Individual provider Active NPI

John Joseph Donovan, D.C.

  • Chiropractor
  • Chelmsford, MA
National Provider Identifier
1609971761
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1646 Issued in MA
Practice address
2 Courthouse LN
Suite 9
Chelmsford, MA 01824-1715
Phone
(978) 453-0900
Fax
(978) 453-9990
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH1646 MA Primary

Addresses

Primary practice location

2 Courthouse LN
Suite 9
Chelmsford, MA 01824-1715

Mailing address

2 Courthouse LN
Suite 9
Chelmsford, MA 01824-1715
Phone (978) 453-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000118 MA Practitioner - Chiropractic 3072510122 Practice locations: Chelmsford, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Courthouse LN
Suite 9
Chelmsford, MA 01824-1715
Phone (978) 453-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH1646MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John J Donovan D.C., P.C. Chiropractor PastSince Oct 12, 2011 Accepting new patients

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1609971761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COURTHOUSE LN",
            "address_2": "SUITE 9",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241715",
            "telephone_number": "978-453-0900",
            "fax_number": "978-453-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COURTHOUSE LN",
            "address_2": "SUITE 9",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241715",
            "telephone_number": "978-453-0900",
            "fax_number": "978-453-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH1646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.