Organization Active NPI

Robert a McDonald Chiropractor LTD

  • Chiropractor
  • Sauk Centre, MN
National Provider Identifier
1831190891
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1463 Issued in MN
Legal business name
ROBERT A MCDONALD CHIROPRACTOR LTD
Practice address
1008 Main St S
Sauk Centre, MN 56378-1651
Phone
(320) 352-2082
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Dr. Robert Allan McDonald, DC
Title
Owner
Phone
(320) 352-2082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1463 MN Primary

Addresses

Primary practice location

1008 Main St S
Sauk Centre, MN 56378-1651

Mailing address

1008 Main St S
Sauk Centre, MN 56378-1651
Phone (320) 352-2082

Other identifiers 3

IdentifierTypeStateIssuer
350010403OtherMEDICARE RAILROAD
25765MCOtherMNBLUE CROSS / BS
520227200MedicaidMN

Other names 1

  • Mainstreet Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1008 Main St S
Sauk Centre, MN 56378
Phone (320) 202-0284

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1831190891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST S",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781651",
            "telephone_number": "320-352-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST S",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781651",
            "telephone_number": "320-352-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A MCDONALD CHIROPRACTOR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-352-2082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350010403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BS",
            "identifier": "25765MC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520227200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mainstreet Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mainstreet Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sauk Centre, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.