Mary T Donnelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3785-012 Issued in WI

Practice address

7301 W National Ave
West Allis, WI 53214-4737

Phone

(414) 607-0366

Fax

(414) 607-0367

NPI assigned

Nov 13, 2006

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Donnelly Chiropractic SCGroup PAC ID 6709962871, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Donnelly Chiropractic SC

  • Sports Physician Chiropractor
  • West Allis, WI
  • NPI 1306045000
  Medicare reassignment Care Compare group NPD
• Hofmaier Chiropractic LTD

  • Chiropractor
  • Villa Park, IL
  • NPI 1184741456
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1760553440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144737",
            "telephone_number": "414-607-0366",
            "fax_number": "414-607-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144737",
            "telephone_number": "414-607-0366",
            "fax_number": "414-607-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3785-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Dominski, APNP
• Laurence Donahue, M.D.
• Donald Feinsilver M.D.
• Donnelly Chiropractic SC
• Kevin B Donnelly, D.C.
• Lynn Constance Dopke, ST
• Douglas Persich, DDS (West Allis Dental Care, LLC)
• Down Syndrome Association of Wisconsin, Inc
• Cassandra Downey, LPC, SAC-IT, CS-IT
• Catherine Doyle

• Chiropractor in West Allis, WI
• Providers in West Allis, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.