Individual provider Active NPI

Daniel Joel Prince, D.C.

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1013099308
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4050 Issued in OK
Practice address
2537 S. Kelly Avenue
Suite a
Edmond, OK 73013-3878
Phone
(405) 757-2079
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4050 OK Primary

Addresses

Primary practice location

2537 S. Kelly Avenue
Suite a
Edmond, OK 73013-3878

Mailing address

2537 S. Kelly Avenue
Suite a
Edmond, OK 73013-3878
Phone (405) 757-2079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121016000193 OK Practitioner - Chiropractic 3870772510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prince Chiropractic Wellness Center, PLLCGroup PAC ID 3870742604, 2 clinicians

Practice addresses (Care Compare)

13501 N Eastern Ave
Oklahoma City, OK 73131-1824
Phone (405) 757-2079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4050OKMDPhysical Therapist
1678NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prince Chiropractic Wellness Center, PLLC Chiropractor CurrentSince Oct 3, 2012 Accepting new patients
Summit Medical Center Past Accepting new patients
Gonstead Family Chiropractic of Abq - Westside, Inc Chiropractor PastSince Jan 1, 2022 Accepting new patients

Locations

2537 S Kelly Ave
Ste A
Edmond, OK 73013
Phone (405) 323-3130

13501 N Eastern Ave
Oklahoma City, OK 73131
Phone (405) 757-2079

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1013099308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 S. KELLY AVENUE",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133878",
            "telephone_number": "405-757-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 S. KELLY AVENUE",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133878",
            "telephone_number": "405-757-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "DANIEL",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.