Organization Active NPI

Donaldson Chiropractic, Inc.

  • Medical Specialty Clinic/Center
  • Nampa, ID
National Provider Identifier
1841480407
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
CHIA-661 Issued in ID
Legal business name
DONALDSON CHIROPRACTIC, INC.
Practice address
1203 10TH St S
Nampa, ID 83651-4611
Phone
(208) 467-6567
Fax
(208) 467-5428
NPI assigned
Jul 30, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Martin Sterling Donaldson, D.C.NPI 1679632566
Title
Owner/President
Phone
(208) 467-6567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CHIA-661 ID Primary

Addresses

Primary practice location

1203 10TH St S
Nampa, ID 83651-4611

Mailing address

1203 10TH St S
Nampa, ID 83651-4611
Phone (208) 467-6567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927001000 ID Part B Supplier - Clinic/Group Practice 4688769151 Receives reassigned benefits from 1 practitioner
Practice locations: Nampa, ID

National Provider Directory

National Provider Directory

Locations

1203 10th St S
Nampa, ID 83651
Phone (208) 249-5333

1206 11th St S
Nampa, ID 83651
Phone (208) 467-6567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1841480407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 10TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514611",
            "telephone_number": "208-467-6567",
            "fax_number": "208-467-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 10TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514611",
            "telephone_number": "208-467-6567",
            "fax_number": "208-467-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALDSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-467-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "CHIA-661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.