Active NPI
David Daniel
- Speech-Language Pathologist
- Colorado Springs, CO
National Provider Identifier
1003549833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0003805
- Practice address
- 2316 N Wahsatch Ave # 127
Colorado Springs, CO 80907-6941 - Phone
- (706) 473-3454
- NPI assigned
- Jul 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP0003805 | CO | Primary |
Addresses
Primary practice location
2316 N Wahsatch Ave # 127
Colorado Springs, CO 80907-6941
Mailing address
2316 N Wahsatch Ave # 127
Colorado Springs, CO 80907-6941
Phone (706) 473-3454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0003805 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1003549833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 N WAHSATCH AVE # 127",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076941",
"telephone_number": "706-473-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 N WAHSATCH AVE # 127",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076941",
"telephone_number": "706-473-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP0003805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.