Samuel McDonald, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR0007574 Issued in CO

Practice address

6650 W 44TH Ave Ste 2B
Wheat Ridge, CO 80033-4711

Phone

(720) 667-3650

NPI assigned

Aug 31, 2017

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Rivers Tribe Corp

  dba Omega Functional Health

  • Chiropractor
  • Wheat Ridge, CO
  • NPI 1376069849
  NPD Authorized official

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1770001588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800010501",
            "telephone_number": "720-791-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 44TH AVE STE 2B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334711",
            "telephone_number": "720-667-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SAMUEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0007574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jane McDevitt, LCSW
• McDonald Surgical Assisting, L.L.C.
• Amber R McDonald, LCSW PHD
• Brenda Sue McDonald, CST CFA
• Erin R McDonald
• Jacob McDonough, LMT
• Megan McDowell
• Cathy McDuff
• John E. McEvitt, RPH
• Sarah McFarlane

• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.