Individual provider Active NPI

David H McDaniel, M.D., FAAD

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1063595429
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101035339 Issued in VA
Practice address
125 Market St
Virginia Beach, VA 23462-6794
Phone
(757) 437-8900
Fax
(757) 437-8200
NPI assigned
Oct 21, 2006
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101035339 VA Primary

Addresses

Primary practice location

125 Market St
Virginia Beach, VA 23462-6794

Mailing address

125 Market St
Virginia Beach, VA 23462-6794
Phone (757) 437-8900

Other identifiers 1

IdentifierTypeStateIssuer
320852OtherVABLUECROSS PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000294 VA Practitioner - Dermatology 3476459363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology Affiliates PC CurrentSince Feb 10, 2021 Accepting new patients

Locations

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

125 Market St
Virginia Beach, VA 23462
Phone (757) 437-8900

Organizations & group practices 3

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1063595429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MARKET ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626794",
            "telephone_number": "757-437-8900",
            "fax_number": "757-437-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MARKET ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626794",
            "telephone_number": "757-437-8900",
            "fax_number": "757-437-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D., FAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101035339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PIN #",
            "identifier": "320852",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.