Gregory Michael McDonnell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4979 Issued in MN

Practice address

3220 Bridge St NW Ste 108
Saint Francis, MN 55070-8631

Phone

(763) 452-0171

Fax

(513) 912-0776

NPI assigned

Mar 30, 2009

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Lukes Chiropractic

  • Chiropractor
  • Saint Francis, MN
  • NPI 1235715574
  Medicare reassignment NPD Authorized official
• Belde Chiropractic Clinic, PA

  • Chiropractor
  • Monticello, MN
  • NPI 1437295532
  NPD (past)
• IHS Midwest PC

  • Chiropractor
  • Monticello, MN
  • NPI 1588600043
  NPD (past)
• Southwest Chiropractic. LLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1487864906
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Zadok Corporation

  dba Steubenville Chiropractic Family Wellness Center

  • Rehabilitation Chiropractor
  • Steubenville, OH
  • NPI 1720205974
  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1619119138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28803 DAHLIA DR NW",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550406331",
            "telephone_number": "763-452-0171",
            "fax_number": "763-452-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BRIDGE ST NW STE 108",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550708631",
            "telephone_number": "763-452-0171",
            "fax_number": "513-912-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4112",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4979",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "ACPU-00177",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Jeanne Karpe
• Andrea Knapp
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• Arianna Lee Larson, DPT
• Michael Jerome Leadens, LADC
• Matthew McGraw Meier
• Sophie Mills, DC
• Jordan Mittet, FNP
• Krystal Nelson
• Paul Nelson

• Chiropractor in Saint Francis, MN
• Providers in Saint Francis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.