Individual provider Active NPI

Daniel Luigi Comunale, DC

  • Chiropractor
  • Bangor, PA
National Provider Identifier
1205306503
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011424 Issued in PA
Practice address
622 Fox Gap Rd
Bangor, PA 18013-5833
Phone
(610) 393-2570
NPI assigned
Nov 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011424 PA Primary

Addresses

Primary practice location

622 Fox Gap Rd
Bangor, PA 18013-5833

Mailing address

14 Mount Bethel PLZ
Mount Bethel, PA 18343-5212
Phone (570) 234-0995

Other identifiers 1

IdentifierTypeStateIssuer
DC011424OtherPANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011424PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Soft Tissue Therapy LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1205306503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOUNT BETHEL PLZ",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183435212",
            "telephone_number": "570-234-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 FOX GAP RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180135833",
            "telephone_number": "610-393-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMUNALE",
        "first_name": "DANIEL",
        "middle_name": "LUIGI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "DC011424",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.