Active NPI
Daniel John Culliton, D.C.
- Chiropractor
- Fayetteville, NC
National Provider Identifier
1053409649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2863
- Practice address
- 3706 Morganton Rd
Fayetteville, NC 28303-4963 - Phone
- (910) 867-5500
- Fax
- (910) 867-4120
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2863 | NC | Primary |
Addresses
Primary practice location
3706 Morganton Rd
Fayetteville, NC 28303-4963
Mailing address
3706 Morganton Rd
Fayetteville, NC 28303-4963
Phone (910) 867-5500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 437501 | Other | NC | WELLPATH ID |
| 562239006 | Other | NC | TAX ID |
| 486753000 | Other | NC | OWCP ID |
| 0849Y | Other | NC | BLUE CROSS ID |
| 890849Y | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3706 Morganton Rd
Fayetteville, NC 28303-4963
Phone (910) 867-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2863 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physical Medicine PA | Current | Accepting new patients | |
| Chiropractic Center of Solon, Inc. | Chiropractor | Past | Accepting new patients |
Locations
3706 Morganton Rd
Fayetteville, NC 28303
Phone (910) 867-5500
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.
-
- General Practice Physician
- Fayetteville, NC
- NPI 1629428883
-
- Chiropractor
- Solon, OH
- NPI 1407976863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1053409649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3706 MORGANTON RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034963",
"telephone_number": "910-867-5500",
"fax_number": "910-867-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3706 MORGANTON RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034963",
"telephone_number": "910-867-5500",
"fax_number": "910-867-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLITON",
"first_name": "DANIEL",
"middle_name": "JOHN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH ID",
"identifier": "437501",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "562239006",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP ID",
"identifier": "486753000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "0849Y",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890849Y",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.