Individual provider Active NPI

Daniel Charles Esposito, DC

  • Chiropractor
  • Kenosha, WI
National Provider Identifier
1033129275
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
1024 60TH St
Suite 1
Kenosha, WI 53140-4099
Phone
(262) 657-7744
Fax
(262) 657-7753
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WI Primary

Addresses

Primary practice location

1024 60TH St
Suite 1
Kenosha, WI 53140-4099

Mailing address

1024 60TH St
Suite 1
Kenosha, WI 53140-4099
Phone (262) 657-7744

Other identifiers 1

IdentifierTypeStateIssuer
38887800MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000084 WI Practitioner - Chiropractic 7911939046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038003185WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Chiropractic Clinic, Inc. Chiropractor CurrentSince May 1, 2000 Accepting new patients

Locations

1024 60th St
Kenosha, WI 53140
Phone (262) 657-7744

1024 60th St
Ste 1
Kenosha, WI 53140
Phone (262) 657-7744

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033129275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 60TH ST",
            "address_2": "SUITE 1",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404099",
            "telephone_number": "262-657-7744",
            "fax_number": "262-657-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 60TH ST",
            "address_2": "SUITE 1",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404099",
            "telephone_number": "262-657-7744",
            "fax_number": "262-657-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "DANIEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38887800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.