Mt Pleasant Chiropractic Clinic LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

007418 Issued in IA

Legal business name

MT PLEASANT CHIROPRACTIC CLINIC LLC

Practice address

204 N Jefferson St
Mt Pleasant, IA 52641-2017

Phone

(319) 217-0095

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew David Donnolly, D.C.NPI 1851668982

Title

Chiropractor

Phone

(319) 217-0095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew David Donnolly, D.C.

  • Chiropractor
  • Des Moines, IA
  • NPI 1851668982
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1871865626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N JEFFERSON ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N JEFFERSON ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412017",
            "telephone_number": "319-217-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "DONNOLLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-217-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IA",
            "license": "007418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent F Metcalf, DO
• Kris Metcalf, LMSW
• Laura Allison Miller Bjork, PA-C
• Linwood Miller, DO
• Matthew A Miller, CRNA
• Mt Pleasant Dental Associates, P.C.
• Mt. Pleasant Assisted Living LLC
• Mt. Pleasant Center for Women'S Health, PC
• Mt. Pleasant Community School District
• Zachary Mulford, PHARMD

• Exclusive Provider Organization in Mt Pleasant, IA
• Providers in Mt Pleasant, IA by specialty
• Exclusive Provider Organization in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.