Individual provider Active NPI

Daniel H Keadle, DC

  • Chiropractor
  • Cary, NC
National Provider Identifier
1104333848
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4875 Issued in NC
Practice address
351 Wellesley Trade LN Ste 101
Cary, NC 27519-5669
Phone
(919) 303-1577
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4875 NC Primary

Addresses

Primary practice location

351 Wellesley Trade LN Ste 101
Cary, NC 27519-5669

Mailing address

351 Wellesley Trade LN Ste 101
Cary, NC 27519-5669

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

OrganizationSpecialtyStatusNew patients
Matthew a Schmid DC PA Chiropractor CurrentSince Jun 29, 2020 Accepting new patients

Locations

7116 Six Forks Rd
Ste A
Raleigh, NC 27615
Phone (919) 847-3122

Organizations & group practices 1

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1104333848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WELLESLEY TRADE LN STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WELLESLEY TRADE LN STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195669",
            "telephone_number": "919-303-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEADLE",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.