Active NPI
Daniel Nugent, DC
- Chiropractor
- Durham, NC
National Provider Identifier
1154329241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4978
- Practice address
- 7011 Fayetteville Rd Ste 106
Durham, NC 27713-7745 - Phone
- (919) 908-7170
- Fax
- (919) 908-6753
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4978 | NC | Primary |
Addresses
Primary practice location
7011 Fayetteville Rd Ste 106
Durham, NC 27713-7745
Mailing address
8515 Falls of Neuse Rd
Raleigh, NC 27615-3513
Phone (919) 582-7057
Other practice location 1
5061 William Flynn Hwy
Gibsonia, PA 15044-8442
Phone (724) 444-6660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011771160001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4978 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of NC PC | Chiropractor | Current | Accepting new patients |
| Integrated Therapy LLC | Current | Accepting new patients | |
| Complete Chiropractic Sports and Wellness | Chiropractor | Current | Accepting new patients |
| Wellcare Medical Associates L.L.C. | Past | Accepting new patients |
Locations
7011 Fayetteville Rd
Ste 106
Durham, NC 27713
Phone (919) 521-5436
8515 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 582-7000
Organizations & group practices 4
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.
-
- Chiropractor
- Durham, NC
- NPI 1326308933
-
- Chiropractor
- Raleigh, NC
- NPI 1437650843
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
-
- Family Medicine Physician
- Gibsonia, PA
- NPI 1750798237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1154329241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 FALLS OF NEUSE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153513",
"telephone_number": "919-582-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 FAYETTEVILLE RD STE 106",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137745",
"telephone_number": "919-908-7170",
"fax_number": "919-908-6753"
}
],
"practiceLocations": [
{
"address_1": "5061 William Flynn Hwy",
"address_purpose": "LOCATION",
"city": "Gibsonia",
"state": "PA",
"postal_code": "150448442",
"country_code": "US",
"telephone_number": "724-444-6660",
"fax_number": "724-444-6669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUGENT",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011771160001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.