Danielle B Duong, D.C. – Chiropractor in Geneva, OH

Key facts

NPI: 1124172887
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 3875 (OH)
Practice address: 773 S Broadway
Geneva, OH 44041-1944
Phone: (440) 466-1860
Fax: (440) 466-0710
NPI assigned: Jan 22, 2007
Sex: Female
Sole proprietor: No

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.

Geneva Spinal Health and Pain Management L.L.C. Chiropractor · Geneva, OH · NPI 1235300724

Medicare reassignment Care Compare group OH

Medicare Care Compare profile

Specialty: Chiropractic
Education: New York Chiropractic College, 2007
Medicare assignment: May accept Medicare assignment
Group practices: Geneva Spinal Health and Pain Management L.L.C. (2 clinicians)

Practice addresses (Care Compare)

23 S Forest St
Geneva, OH 44041-1620
Phone (440) 466-0860

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20090223000246	OH	Practitioner - Chiropractic	1557426707	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
X011454-1	NY	MD	Chiropractor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	X011454-1	NY
Chiropractor	111N00000X	3875	OH	Yes

Addresses

Primary practice location

773 S Broadway
Geneva, OH 44041-1944

Mailing address

773 S Broadway
Geneva, OH 44041-1944
Phone (440) 466-1860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2008.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1124172887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411944",
            "telephone_number": "440-466-1860",
            "fax_number": "440-466-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411944",
            "telephone_number": "440-466-1860",
            "fax_number": "440-466-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "DANIELLE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011454-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

All providers in Geneva, OH · Chiropractor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.