Matthew David Donnolly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007418 Issued in IA

Practice address

1612 46TH St
Des Moines, IA 50310-3021

Phone

(319) 217-0095

NPI assigned

Nov 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt Pleasant Chiropractic Clinic LLC

  • Exclusive Provider Organization
  • Mt Pleasant, IA
  • NPI 1871865626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1851668982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N JEFFERSON ST",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412017",
            "telephone_number": "319-385-3000",
            "fax_number": "319-385-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 46TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103021",
            "telephone_number": "319-217-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNOLLY",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Victor Donatelli, M.D.
• Tria Doner, CPNP
• Medeja Donlagic-Yanqui, PA-C
• Stefanie Colleen Donnell-Randall, D.D.S.
• Steven Donnelly, PHARMD
• Aleksandra Donohue, MD
• Taylor Donohue, MD
• Jessica Dopheide
• Erika Doran, PHARMD
• Anna Beth Dorman, LPN

• Chiropractor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.