Organization Active NPI

Macdonald Chiropractic PC

  • Health Service Clinic/Center
  • Falmouth, MA
National Provider Identifier
1982965257
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
503 Issued in MA
Legal business name
MACDONALD CHIROPRACTIC PC
Practice address
169 Gifford St
Falmouth, MA 02540-3309
Phone
(508) 548-2201
Fax
(508) 548-2280
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Dr. David Glenn Macdonald, DCNPI 1003871674
Title
Treasurer
Phone
(508) 548-2201

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
Health Service Clinic/Center 261QH0100X 503 MA Primary

Addresses

Primary practice location

169 Gifford St
Falmouth, MA 02540-3309

Mailing address

169 Gifford St
Falmouth, MA 02540-3309
Phone (508) 548-2201

Other identifiers 6

IdentifierTypeStateIssuer
0045269OtherMANHP
1608479MedicaidMA
0005681463OtherMAAETNA
35239OtherMAHARVARD PILGRIM HEALTH CARE
MAY35334OtherBLUE CROSS BLUE SHIELD OF MASSACHUSETTS
762446OtherMATUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121016000084 MA Part B Supplier - Clinic/Group Practice 6103076856 Receives reassigned benefits from 1 practitioner
Practice locations: Falmouth, MA

National Provider Directory

National Provider Directory

Locations

6460 Coki Pt
St Thomas, VI 00802
Phone (340) 775-2208

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1982965257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403309",
            "telephone_number": "508-548-2201",
            "fax_number": "508-548-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403309",
            "telephone_number": "508-548-2201",
            "fax_number": "508-548-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACDONALD CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "508-548-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": "503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0045269",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1608479",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005681463",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "35239",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "MAY35334",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "762446",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.