Organization Active NPI

Donahue Chiropractic, Inc

  • Chiropractor
  • Wildomar, CA
National Provider Identifier
1659497733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21948 Issued in CA
Legal business name
DONAHUE CHIROPRACTIC, INC
Practice address
23905 Clinton Keith Rd
Suite 105
Wildomar, CA 92595-7897
Phone
(951) 678-6780
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dianne Donahue, DC
Title
President
Phone
(951) 678-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21948 CA Primary

Addresses

Primary practice location

23905 Clinton Keith Rd
Suite 105
Wildomar, CA 92595-7897

Mailing address

23905 Clinton Keith Rd
Suite 105
Wildomar, CA 92595-7897
Phone (951) 678-6780

National Provider Directory

National Provider Directory

Locations

1109 S State St
Hemet, CA 92543
Phone (951) 652-2042

24885 Whitewood Rd
Ste 103
Murrieta, CA 92563
Phone (951) 265-6588

23905 Clinton Keith Rd
Ste 105
Wildomar, CA 92595
Phone (909) 678-6780

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659497733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23905 CLINTON KEITH RD",
            "address_2": "SUITE 105",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957897",
            "telephone_number": "951-678-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23905 CLINTON KEITH RD",
            "address_2": "SUITE 105",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957897",
            "telephone_number": "951-678-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONAHUE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-678-6780",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.