Timothy John Daughton Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012393 Issued in NY

Practice address

182 Intrepid LN
Syracuse, NY 13205-2545

Phone

(315) 498-6888

Fax

(315) 498-6889

NPI assigned

Mar 15, 2006

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Spine and Sports Chiropractic PCGroup PAC ID 0244462489, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Allied Spine and Sports Chiropractic, PC

  • Chiropractor
  • Syracuse, NY
  • NPI 1649601022
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1144299835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-498-6888",
            "fax_number": "315-498-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-498-6888",
            "fax_number": "315-498-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTON",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012393",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "DA1818647",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Ann Dashnaw, RD, CDN
• Tina Marie Dashno, CRPA
• Joann Daucher, LPN
• Mitchel Daugherty
• Alexis Daughton
• David J Davin MD PLLC
• David J. Braun, O.D., P.C.
• David T. Nash, M.D. P.C. (Syracuse Preventive Cardiology)
• Jessica Fawn Davidson, LMSW
• Kathryn Marsh Davidson, LCSW

• Chiropractor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.