Active NPI
Robert a McDonald Chiropractor LTD
- Chiropractor
- Sauk Centre, MN
National Provider Identifier
1831190891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1463
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350010403 | Other | MEDICARE RAILROAD | |
| 25765MC | Other | MN | BLUE CROSS / BS |
| 520227200 | Medicaid | MN |
Other names 1
- Mainstreet Chiropractic
National Provider Directory
National Provider DirectoryLocations
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.