Active NPI
John L Macdonald, D.C.
- Chiropractor
- Tempe, AZ
National Provider Identifier
1710132279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7949
- Practice address
- 6625 S Rural Rd
Ste 104
Tempe, AZ 85283-3717 - Phone
- (480) 833-4515
- NPI assigned
- Nov 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7949 | AZ | Primary |
| Sports Physician Chiropractor | 111NS0005X | 4634 | AZ |
Addresses
Primary practice location
6625 S Rural Rd
Ste 104
Tempe, AZ 85283-3717
Mailing address
6625 S Rural Rd
Ste 104
Tempe, AZ 85283-3717
Phone (480) 833-4515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412797 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7949 | AZ | MD | Physical Therapist |
| 4634 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult & Childrens Chiropractix, PC | Chiropractor | Past | 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.
-
- Chiropractor
- Tempe, AZ
- NPI 1831371541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1710132279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 S RURAL RD",
"address_2": "STE 104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833717",
"telephone_number": "480-833-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 S RURAL RD",
"address_2": "STE 104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833717",
"telephone_number": "480-833-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "JOHN",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-25",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7949",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "4634",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412797",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.