John CB McDonald Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JOHN CB MCDONALD CLINIC PC

Practice address

763 E Napier Ave
Benton Harbor, MI 49022-6119

Phone

(269) 925-3232

Fax

(269) 925-9489

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John C.B. McDonald, D.O.

Title

Owner

Phone

(269) 925-3232

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1942360409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 E NAPIER AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226119",
            "telephone_number": "269-925-3232",
            "fax_number": "269-925-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 E NAPIER AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226119",
            "telephone_number": "269-925-3232",
            "fax_number": "269-925-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CB MCDONALD CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-925-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95 0A150360",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4347941",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Jenkins
• Rodney Jennings
• Rosemary Jesper
• Sachcihidana Jha, M.D.
• Debra Lynn Joachim, BSW
• Alexia Johnson
• Ana Johnson
• Ayanna Johnson, CHW
• Jennifer Johnson
• Keira Quinn Johnson

• Chiropractor in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.