Active NPI
Daniel Jason Qualls, D.C.
- Chiropractor
- Ashland, KY
National Provider Identifier
1104006675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5079
- Practice address
- 120 Stoney Brooke Dr
Ashland, KY 41101-2160 - Phone
- (606) 329-0281
- NPI assigned
- Nov 13, 2007
- 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 | 5079 | KY | Primary |
Addresses
Primary practice location
120 Stoney Brooke Dr
Ashland, KY 41101-2160
Mailing address
PO Box 577
Greenup, KY 41144-0577
Phone (816) 896-0281
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodyworx Physical Therapy & Chiropractic Wellness Center PLLC | Chiropractor | Past | Accepting new patients |
| Qualls Family Chiropractic Inc. | Past | Accepting new patients |
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.
-
- Clinic/Center
- Greenup, KY
- NPI 1023295219
-
- Physical Therapist
- Russell, KY
- NPI 1598819468
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1104006675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 577",
"city": "GREENUP",
"state": "KY",
"postal_code": "411440577",
"telephone_number": "816-896-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 STONEY BROOKE DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012160",
"telephone_number": "606-329-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUALLS",
"first_name": "DANIEL",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.