Individual provider Active NPI

Darryl Keef Warner, D,C.

  • Sports Physician Chiropractor
  • Everett, PA
National Provider Identifier
1114029154
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC004738L Issued in PA
Practice address
201 Hospital Dr,
Suite 2
Everett, PA 15537
Phone
(814) 623-5592
Fax
(814) 623-2449
NPI assigned
Sep 1, 2006
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC004738L PA Primary

Addresses

Primary practice location

201 Hospital Dr,
Suite 2
Everett, PA 15537

Mailing address

201 Hospital Dr
Suite 2
Everett, PA 15537-7019
Phone (814) 623-5592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000258 PA Practitioner - Chiropractic 4486821162 Practice locations: Duncansville, PA; Everett, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Hospital Dr
Everett, PA 15537-7019
Phone (814) 623-5592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004738LPAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Regenerative Medicine LLC CurrentSince Aug 18, 2019 Accepting new patients
Blair Regenerative Medicine LLC CurrentSince Aug 23, 2020 Accepting new patients
Darryl K. Warner PastSince May 8, 1991 Accepting new patients

Locations

1381 Plank Rd
Ste 102
Duncansville, PA 16635
Phone (814) 317-5175

201 Hospital Dr
#2
Everett, PA 15537
Phone (814) 623-5592

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1114029154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL DR",
            "address_2": "SUITE 2",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377019",
            "telephone_number": "814-623-5592",
            "fax_number": "814-623-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL DR,",
            "address_2": "SUITE 2",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "15537",
            "telephone_number": "814-623-5592",
            "fax_number": "814-623-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DARRYL",
        "middle_name": "KEEF",
        "name_prefix": "Dr.",
        "credential": "D,C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC004738L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.