NPIMap

Organization Active NPI

McDonald Chiropractic & Acupuncture, P.a.

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1922383041
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10403 Issued in FL
Legal business name
MCDONALD CHIROPRACTIC & ACUPUNCTURE, P.A.
Practice address
124 Tuscan Way
Suite 103
St Augustine, FL 32092-1851
Phone
(904) 940-9813
Fax
(904) 940-1812
NPI assigned
Oct 20, 2011
Last updated
Oct 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Tracy Elizabeth McDonald, D.C.
Title
Owner
Phone
(904) 940-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10403 FL Primary

Addresses

Primary practice location

124 Tuscan Way
Suite 103
St Augustine, FL 32092-1851

Mailing address

124 Tuscan Way
Suite 103
St Augustine, FL 32092-1851
Phone (904) 940-9813

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1922383041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 TUSCAN WAY",
            "address_2": "SUITE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921851",
            "telephone_number": "904-940-9813",
            "fax_number": "904-940-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 TUSCAN WAY",
            "address_2": "SUITE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921851",
            "telephone_number": "904-940-9813",
            "fax_number": "904-940-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD CHIROPRACTIC & ACUPUNCTURE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-940-9813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.