Individual provider Active NPI

Garreth Macdonald, D.C.

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1770614521
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3211 Issued in OR
Practice address
90 E 27TH Ave
B
Eugene, OR 97405-3785
Phone
(541) 343-4343
Fax
(541) 485-2835
NPI assigned
Mar 7, 2007
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3211 OR Primary

Addresses

Primary practice location

90 E 27TH Ave
B
Eugene, OR 97405-3785

Mailing address

90 E 27TH Ave
B
Eugene, OR 97405-3785
Phone (541) 343-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000217 OR Practitioner - ChiropracticPractitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 4385799139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation, Sports Medicine
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 W 8TH Ave
Suite 200
Eugene, OR 97401-2973
Phone (541) 343-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3211ORMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Canusa Health Chiropractic Chiropractor Current Accepting new patients

Locations

90 E 27th Ave
Ste B
Eugene, OR 97405
Phone (541) 343-4343

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1770614521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E 27TH AVE",
            "address_2": "B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053785",
            "telephone_number": "541-343-4343",
            "fax_number": "541-485-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E 27TH AVE",
            "address_2": "B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053785",
            "telephone_number": "541-343-4343",
            "fax_number": "541-485-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "GARRETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.