Individual provider Active NPI

William Jeffrey Donahue, D.C., L. AC.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1851609127
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4925 Issued in AZ
Practice address
1744 S Val Vista Dr
Suite 214
Mesa, AZ 85204-7362
Phone
(480) 654-2920
Fax
(480) 424-7407
NPI assigned
Sep 20, 2010
Last updated
Sep 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4925 AZ Primary
Acupuncturist 171100000X 0183 AZ

Addresses

Primary practice location

1744 S Val Vista Dr
Suite 214
Mesa, AZ 85204-7362

Mailing address

1744 S Val Vista Dr
Suite 214
Mesa, AZ 85204-7362
Phone (480) 654-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0183AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1851609127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 S VAL VISTA DR",
            "address_2": "SUITE 214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047362",
            "telephone_number": "480-654-2920",
            "fax_number": "480-424-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 S VAL VISTA DR",
            "address_2": "SUITE 214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047362",
            "telephone_number": "480-654-2920",
            "fax_number": "480-424-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "WILLIAM",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C., L. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4925",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.