Individual provider Active NPI

Devin Jo Daniels, D.C.

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1043677487
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4651 Issued in OH
Practice address
14580 Wooster Rd
Mount Vernon, OH 43050-9774
Phone
(740) 399-3602
NPI assigned
Jan 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 081064 IA
Chiropractor 111N00000X 4651 OH Primary

Addresses

Primary practice location

14580 Wooster Rd
Mount Vernon, OH 43050-9774

Mailing address

14580 Wooster Rd
Mount Vernon, OH 43050-9774
Phone (740) 399-3602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170315002463 OH Practitioner - Chiropractic 2567747488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14580 Wooster Rd
Mount Vernon, OH 43050-9774
Phone (740) 399-3602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081064IAMDChiropractor
4651OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Chiropractic LLC Chiropractor CurrentSince Feb 24, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

14580 Wooster Rd
Mount Vernon, OH 43050
Phone (740) 399-3602

14580 Wooster Rd
#B
Mount Vernon, OH 43050

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": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1043677487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14580 WOOSTER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509774",
            "telephone_number": "740-399-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14580 WOOSTER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509774",
            "telephone_number": "740-399-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "DEVIN",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "081064",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.