Clinton J Daniels, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2010031861 Issued in MO

Practice address

3641 Reavis Barracks Rd
Saint Louis, MO 63125-2438

Phone

(314) 531-8882

NPI assigned

Sep 14, 2010

Last updated

Sep 14, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brentwood Spine Clinic LLC

  • Sports Physician Chiropractor
  • Brentwood, MO
  • NPI 1669716031
  NPD Authorized official
• Performance Health Care LLC

  • Sports Physician Chiropractor
  • Saint Louis, MO
  • NPI 1518273911
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1194033084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 WYOMING ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182130",
            "telephone_number": "314-600-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 REAVIS BARRACKS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252438",
            "telephone_number": "314-531-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CLINTON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010031861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Elizabeth Daniel, MD
• Tiauna Daniel
• Vicki Daniel, APRN
• Alexis Katherine Daniels, LMSW
• Chelsea Lyn Daniels, DO
• David N Daniels, MD
• Dawanna Daniels, LPC
• Elizabeth Alexandra Daniels, MD
• Emily Daniels, RN
• Erik D Daniels, MD

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.