Individual provider Active NPI

Daniel Odell, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1023608635
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003211A Issued in IN
Practice address
5750 E 91St St Ste B
Indianapolis, IN 46250-1380
Phone
(317) 284-1329
NPI assigned
Jan 19, 2021
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003211A IN Primary

Addresses

Primary practice location

5750 E 91St St Ste B
Indianapolis, IN 46250-1380

Mailing address

5750 E 91St St Ste B
Indianapolis, IN 46250-1380
Phone (317) 284-1329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128001535 IN Practitioner - Chiropractic 1759795099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
May accept Medicare assignment
Group practices
New Palestine Chiropractic IncGroup PAC ID 2668636630, 3 clinicians

Practice addresses (Care Compare)

4056 Arbor LN
Suite 100
New Palestine, IN 46163-8644

4056 S Arbor LN
Suite 100
New Palestine, IN 46163-8644
Phone (317) 861-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003211AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Palestine Chiropractic Inc Chiropractor CurrentSince Jun 6, 2022 Accepting new patients

Locations

4056 Arbor Ln
Ste 100
New Palestine, IN 46163
Phone (317) 861-4300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1023608635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 E 91ST ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501380",
            "telephone_number": "317-284-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 E 91ST ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501380",
            "telephone_number": "317-284-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003211A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.