Individual provider Active NPI

Danielle R Vann, D.C.

  • Chiropractor
  • Garner, NC
National Provider Identifier
1104109859
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4197 Issued in NC
Practice address
5176 NC Highway 42 W
Ste. a
Garner, NC 27529-8471
Phone
(919) 977-5744
Fax
(919) 977-6320
NPI assigned
Sep 20, 2011
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556907 VA
Chiropractor 111N00000X 4197 NC Primary

Addresses

Primary practice location

5176 NC Highway 42 W
Ste. a
Garner, NC 27529-8471

Mailing address

620 Veterans Parkway
Clayton, NC 27520-5803
Phone (919) 977-5744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411000135 NC Practitioner - Chiropractic 6002089687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 Veterans Hwy
Clayton, NC 27520-5803
Phone (919) 977-5744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4197NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Family Chiropractic Chiropractor CurrentSince Feb 2, 2017 Accepting new patients
Rev Solutions LLC CurrentSince Mar 20, 2025 Accepting new patients
Tuck Chiropractic Corporation Chiropractor PastSince Aug 19, 2015 Accepting new patients
Tuck Chiropractic Corporation PastSince Dec 15, 2024 Accepting new patients
Quintessential Wellness PastSince Jul 16, 2023 Accepting new patients

Locations

620 Veterans Pkwy
Clayton, NC 27520
Phone (919) 423-0623

Organizations & group practices 5

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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1104109859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 VETERANS PARKWAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205803",
            "telephone_number": "919-977-5744",
            "fax_number": "919-977-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 NC HIGHWAY 42 W",
            "address_2": "STE. A",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298471",
            "telephone_number": "919-977-5744",
            "fax_number": "919-977-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556907",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.

Verify at the official NPI Registry.