Individual provider Active NPI

Daniele Ellen Runyan, DC

  • Chiropractor
  • Cary, NC
National Provider Identifier
1225677305
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5127 Issued in NC
Practice address
1628 Old Apex Rd
Cary, NC 27513-5719
Phone
(919) 367-6752
NPI assigned
Jan 6, 2020
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 5127 NC Primary

Addresses

Primary practice location

1628 Old Apex Rd
Cary, NC 27513-5719

Mailing address

1640 Old Apex Rd
Cary, NC 27513-5719
Phone (919) 367-6752

Other identifiers 1

IdentifierTypeStateIssuer
5127OtherNCCHIROPRACTIC LICENCE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL daniele.grathwohl22@gmail.com Direct
Other URL info@elementalchiropracticnc.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916002794 NC Practitioner - Chiropractic 6800214271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elemental Chiropractic PLLCGroup PAC ID 4385062751, 2 clinicians

Practice addresses (Care Compare)

1640 Old Apex Rd
Cary, NC 27513-5719
Phone (919) 367-6752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Chiropractic PLLC Chiropractor CurrentSince Aug 10, 2020 Accepting new patients

Locations

1628 Old Apex Rd
Cary, NC 27513
Phone (919) 367-6752

1640 Old Apex Rd
Cary, NC 27513
Phone (919) 367-6752

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

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1225677305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 OLD APEX RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135719",
            "telephone_number": "919-367-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 OLD APEX RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135719",
            "telephone_number": "919-367-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "DANIELE",
        "middle_name": "ELLEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENCE",
            "identifier": "5127",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "daniele.grathwohl22@gmail.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5131 Lundy Dr",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276061527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@elementalchiropracticnc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1628 Old Apex Rd",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275135719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.

Verify at the official NPI Registry.