Individual provider Active NPI

Daniel Dange Wolf, DC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1033785522
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0008341 Issued in CO
Practice address
1840 S Stapley Dr Ste 234
Mesa, AZ 85204-6686
Phone
(602) 325-2024
Fax
(720) 925-5897
NPI assigned
Jun 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0008341 CO Primary

Addresses

Primary practice location

1840 S Stapley Dr Ste 234
Mesa, AZ 85204-6686

Mailing address

5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599

Other practice location 1

14680 W Colfax Ave Ste F-120
Lakewood, CO 80401-4012
Phone (720) 457-6620

Other practice location 2

5920 S Estes St Ste 220
Littleton, CO 80123-8619
Phone (303) 948-0734

Other identifiers 1

IdentifierTypeStateIssuer
0008341MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Direct Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230411001214 CO Practitioner - Chiropractic 8123493889 Reassigns benefits to 1 organization
I20240801002310 AZ Practitioner - Chiropractic 8123493889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Pain CenterGroup PAC ID 1052469152, 61 clinicians

Practice addresses (Care Compare)

5920 S Estes St
Suite 220
Littleton, CO 80123-8619
Phone (303) 948-0734

6622 N 91St Ave
Suite 230
Glendale, AZ 85305-2570
Phone (602) 325-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008341COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Pain Center Chiropractor CurrentSince Mar 20, 2023 Accepting new patients
Mountain View Pain Specialists PastSince Nov 3, 2024 Accepting new patients

Locations

6622 N 91st Ave
Ste 230
Glendale, AZ 85305
Phone (602) 325-2024

1840 S Stapley Dr
Ste 234
Mesa, AZ 85204
Phone (602) 325-2024

2222 W Dunlap Ave
Ste 190
Phoenix, AZ 85021
Phone (602) 325-2024

5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111

5920 S Estes St
Ste 220
Littleton, CO 80123
Phone (303) 221-1569

Networks

  • CO HMO C-SNP
  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Organizations & group practices 2

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1033785522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY STE 1130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113038",
            "telephone_number": "720-749-5599",
            "fax_number": "720-925-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S STAPLEY DR STE 234",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046686",
            "telephone_number": "602-325-2024",
            "fax_number": "720-925-5897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14680 W Colfax Ave Ste F-120",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "804014012",
            "country_code": "US",
            "telephone_number": "720-457-6620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5920 S Estes St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801238619",
            "country_code": "US",
            "telephone_number": "303-948-0734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "DANIEL",
        "middle_name": "DANGE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008341",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14680 W Colfax Ave Ste F-120",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804014012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.