McDonald Chiropractic Clinic L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3891 Issued in OK

Legal business name

MCDONALD CHIROPRACTIC CLINIC L.L.C.

Practice address

2209 W I 240 Service Rd Ste 312
Oklahoma City, OK 73159-8252

Phone

(405) 601-8000

Fax

(405) 601-9047

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Roy McDonald, D.C.

Title

Owner

Phone

(405) 601-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McDonald Chiropractic Clinic Former legal business name

Locations

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1649649435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 W I 240 SERVICE RD STE 312",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731598252",
            "telephone_number": "405-601-8000",
            "fax_number": "405-601-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 W I 240 SERVICE RD STE 312",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731598252",
            "telephone_number": "405-601-8000",
            "fax_number": "405-601-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD CHIROPRACTIC CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-601-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "445607",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonald Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie McDavid
• Sara McDermitt, MT
• Patrick Riley McDermott, PA-C
• Seth Michael McDevitt
• Msichana McDole, LPC
• Devin Scott Hiroki McDonald, DPT
• Donta McDonald
• Dwan Jo McDonald
• Joy McDonald
• Lacey Dawn McDonald

• Chiropractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.