Daniel Joseph Becker, DC
Individual provider Active NPI Chiropractor · Tryon, NC
NPI 1083697338 · NPPES record last updated Mar 22, 2011
Key facts
- NPI
- 1083697338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3122 (NC)
- Practice address
- 104 Palmer St
Tryon, NC 28782-3433 - Phone
- (828) 817-5524
- Fax
- (866) 518-5637
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3122 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Medical & Rehabilitation Center, P.C. | Chiropractor | Past | Accepting new patients |
| Willis Chiro Med of Columbia, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3122 | NC | Yes |
| Chiropractor | 111N00000X | 2539 | SC |
Addresses
Primary practice location
104 Palmer St
Tryon, NC 28782-3433
Mailing address
PO Box 912
Tryon, NC 28782-0912
Phone (828) 817-5524
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407906290 | Other | SC | PRACTICE NPI |
| 5902464 | Medicaid | NC |
Other providers in Tryon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.