Organization Active NPI

Donnell Chiropractic, LLC

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1851838700
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009909 Issued in MI
Legal business name
DONNELL CHIROPRACTIC, LLC
Practice address
2314 Gull Rd
A
Kalamazoo, MI 49048-1432
Phone
(269) 459-1339
Fax
(269) 459-1340
NPI assigned
Jan 30, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
DONNELL CHIROPRACTIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Caleb Allen Donnell, D.C.NPI 1538412036
Title
Owner
Phone
(269) 459-1339

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009909 MI Primary

Addresses

Primary practice location

2314 Gull Rd
A
Kalamazoo, MI 49048-1432

Mailing address

2314 Gull Rd
A
Kalamazoo, MI 49048-1432
Phone (269) 459-1339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170228001755 MI Part B Supplier - Clinic/Group Practice 7315221876 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory
Part of
Donnell Chiropractic LLC

Locations

2314 Gull Rd
Ste A
Kalamazoo, MI 49048
Phone (269) 459-1339

5080 Gull Rd
Kalamazoo, MI 49048
Phone (269) 459-1339

Practitioners & affiliated clinicians

Practitioners 4

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": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1851838700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 GULL RD",
            "address_2": "A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481432",
            "telephone_number": "269-459-1339",
            "fax_number": "269-459-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 GULL RD",
            "address_2": "A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481432",
            "telephone_number": "269-459-1339",
            "fax_number": "269-459-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELL CHIROPRACTIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DONNELL CHIROPRACTIC, LLC",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-459-1339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.