Individual provider Active NPI

Daniel Kenneth O'Leary, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1093035537
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12452 Issued in FL
Practice address
1550 Hendricks Ave Ste 1
Jacksonville, FL 32207-3108
Phone
(904) 503-0911
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12452 FL Primary

Addresses

Primary practice location

1550 Hendricks Ave Ste 1
Jacksonville, FL 32207-3108

Mailing address

1550 Hendricks Ave Ste 1
Jacksonville, FL 32207-3108
Phone (904) 909-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12452FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Natural Healing Center Chiropractor CurrentSince Feb 12, 2023 Accepting new patients
Beyond Healthcare S.C. Chiropractor PastSince Mar 13, 2018 Accepting new patients

Locations

1550 Hendricks Ave
Ste 1
Jacksonville, FL 32207
Phone (904) 434-2010

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1093035537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 HENDRICKS AVE STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073108",
            "telephone_number": "904-909-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HENDRICKS AVE STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073108",
            "telephone_number": "904-503-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "DANIEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.