Individual provider Active NPI

Steven Neil Macdonald, DC

  • Chiropractor
  • Pacific Grove, CA
National Provider Identifier
1831217322
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12752 Issued in CA
Practice address
718 Lighthouse Ave
Ste a
Pacific Grove, CA 93950-2562
Phone
(831) 375-9528
Fax
(831) 375-9529
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC12752 CA Primary

Addresses

Primary practice location

718 Lighthouse Ave
Ste a
Pacific Grove, CA 93950-2562

Mailing address

718 Lighthouse Ave Ste a
Pacific Grove, CA 93950-2562
Phone (831) 375-9528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000815 CA Practitioner - Chiropractic 1355509167 Practice locations: Pacific Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

718 Lighthouse Ave
Suite a
Pacific Grove, CA 93950-2562
Phone (831) 375-9528

718 Lighthouse Ave a
Pacific Grove, CA 93950-2562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC12752CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1831217322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LIGHTHOUSE AVE STE A",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502562",
            "telephone_number": "831-375-9528",
            "fax_number": "831-375-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LIGHTHOUSE AVE",
            "address_2": "STE A",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502562",
            "telephone_number": "831-375-9528",
            "fax_number": "831-375-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "STEVEN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.