Matthew Thomas McDonnell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1162 Issued in ME

Practice address

913 Post Rd
Suite 2B
Wells, ME 04090-4114

Phone

(207) 641-2225

Fax

(207) 641-2226

NPI assigned

Mar 24, 2006

Last updated

Oct 3, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1861452922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 POST RD",
            "address_2": "SUITE 2B",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904114",
            "telephone_number": "207-641-2225",
            "fax_number": "207-641-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 POST RD",
            "address_2": "SUITE 2B",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904114",
            "telephone_number": "207-641-2225",
            "fax_number": "207-641-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409100000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maine Advanced Spinal Care LLC (Merrill Clinic of Chiropractic)
• Sandy Georgette Mait, LCPC-C
• Sasha Noelle Malone, PHARMD
• Summer Massaro Roy
• Joseph L Mazzei, CRNA
• Merrill Clinic of Chiropractic, PA
• Douglas Stephen Merrill, D.C.
• Myra Michaud
• Domantas Mikonis
• Karen B Miller, PT

• Chiropractor in Wells, ME
• Providers in Wells, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.