Active NPI
Salvatore Cosimo Daniele, B.S., D,C.
- Chiropractor
- Fayetteville, NC
National Provider Identifier
1184732430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3330
- Practice address
- 1905 Skibo Rd Ste 103
Fayetteville, NC 28314-0261 - Phone
- (910) 480-1111
- Fax
- (910) 480-1113
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3330 | NC | Primary |
Addresses
Primary practice location
1905 Skibo Rd Ste 103
Fayetteville, NC 28314-0261
Mailing address
439 Westwood Shopping Ctr
Suite 5
Fayetteville, NC 28314-1532
Phone (910) 480-1111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2457877 | Other | NC | MEDICARE INDIVIDUAL PTAN |
| 662673 | Other | NC | AMERICAN CHIRO. NETWORK |
| 085UX | Other | NC | BLUE CROSS/BLUE SHIELD |
| 607554400 | Other | NC | ACS-DEPT. OF LABOR |
| 2457877 | Other | NC | MEDICARE GROUP/ORGANIZATION PTAN |
| 89085UX | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1905 Skibo Rd
Suite 103
Fayetteville, NC 28314-0261
Phone (910) 480-1111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3330 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aguayo Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Chiropractic Plus PA | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Fayetteville, NC
- NPI 1497924021
-
- Chiropractor
- Fayetteville, NC
- NPI 1841308038
-
- Chiropractor
- El Paso, TX
- NPI 1144320243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1184732430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 WESTWOOD SHOPPING CTR",
"address_2": "SUITE 5",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141532",
"telephone_number": "910-480-1111",
"fax_number": "910-480-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 SKIBO RD STE 103",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140261",
"telephone_number": "910-480-1111",
"fax_number": "910-480-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELE",
"first_name": "SALVATORE",
"middle_name": "COSIMO",
"name_prefix": "Dr.",
"credential": "B.S., D,C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "2457877",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN CHIRO. NETWORK",
"identifier": "662673",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "085UX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-DEPT. OF LABOR",
"identifier": "607554400",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP/ORGANIZATION PTAN",
"identifier": "2457877",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085UX",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.