Individual provider Active NPI

Daniel Nugent, DC

  • Chiropractor
  • Durham, NC
National Provider Identifier
1154329241
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4978 Issued in NC
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

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1011771160001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820003555 NC Practitioner - Chiropractic 4082670369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4978NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Clinic of NC PC Chiropractor CurrentSince Apr 20, 2021 Accepting new patients
Integrated Therapy LLC CurrentSince Apr 20, 2021 Accepting new patients
Complete Chiropractic Sports and Wellness Chiropractor CurrentSince Jul 20, 2020 Accepting new patients
Wellcare Medical Associates L.L.C. PastSince Sep 1, 2011 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.

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.

Verify at the official NPI Registry.