Individual provider Active NPI

Daniel Joseph McManus

  • Podiatrist
  • Canby, OR
National Provider Identifier
1225618333
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
220632 Issued in OR
Practice address
332 NW 1St Ave
Canby, OR 97013-3533
Phone
(503) 668-5210
NPI assigned
Apr 12, 2021
Last updated
Jun 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 220632 OR Primary

Addresses

Primary practice location

332 NW 1St Ave
Canby, OR 97013-3533

Mailing address

332 NW 1St Ave
Canby, OR 97013-3533
Phone (503) 668-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731003263 OR Practitioner - Podiatry 2163969759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Foot and Ankle Associates LLCGroup PAC ID 5799047783, 6 clinicians

Practice addresses (Care Compare)

37569 Hwy 26
Sandy, OR 97055-9301
Phone (503) 668-5210

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of nail tissue215
Removal or shaving of skin growth67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
220632ORMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Foot & Ankle Associates LLC Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Elite Mobile Wound Care LLC Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Robert W Geister and Associates Inc PastSince Aug 20, 2013 Accepting new patients

Locations

332 NW 1st Ave
Canby, OR 97013
Phone (503) 266-0600

37569 Highway 26
Sandy, OR 97055
Phone (503) 668-5210

39400 Pioneer Blvd
Ste 4
Sandy, OR 97055
Phone (503) 245-2417

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGCBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1225618333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133533",
            "telephone_number": "503-668-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133533",
            "telephone_number": "503-668-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "220632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

Verify at the official NPI Registry.