Myles O'Donnell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC36403 Issued in CA

Practice address

2921 McClure St
Oakland, CA 94609-3504

Phone

(510) 862-7016

NPI assigned

Jul 26, 2022

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

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1811623499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 MONTEREY BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191606",
            "telephone_number": "510-862-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 MCCLURE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093504",
            "telephone_number": "510-862-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "MYLES",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lori O'Daniel
• Kelcee Kathleen O'Daniel, ASW
• Betsy Encarnacion O'Donnell, M.D.
• Joanna White O'Donnell
• Katharine O'Donnell, MSW
• James Desmond O'Driscoll
• Janellen O'Hara
• Patrick Brian O'Hearn, PH.D.
• Brian F. O'Kelly, MD
• Mary Rose O'Leary, CRNA

• Chiropractor in Oakland, CA
• Providers in Oakland, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.