Active NPI
Roy Dewayne McDonald, D.C.
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1780999896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3891
- Practice address
- 2507 SW 59TH St
Oklahoma City, OK 73119-6613 - Phone
- (405) 312-2912
- NPI assigned
- Aug 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3891 | OK | Primary |
Addresses
Primary practice location
2507 SW 59TH St
Oklahoma City, OK 73119-6613
Mailing address
2507 S.W. 59TH St.
Oklahoma City, OK 73119
Phone (405) 312-2912
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3891 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1780999896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 S.W. 59TH ST.",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73119",
"telephone_number": "405-312-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 SW 59TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731196613",
"telephone_number": "405-312-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ROY",
"middle_name": "DEWAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-12",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.