NPIMap

Organization Active NPI

John Daniel M.D, PS, Inc.

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1235310657
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00037757 Issued in WA
Legal business name
JOHN DANIEL M.D, PS, INC.
Practice address
801 E Main Street
Puyallup, WA 98372-3365
Phone
(253) 845-4934
Fax
(253) 845-9289
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. John N Daniel, M.DNPI 1083788160
Title
Physician
Phone
(253) 845-4934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD00037757 WA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

801 E Main Street
Puyallup, WA 98372-3365

Mailing address

801 E Main Street
Puyallup, WA 98372-3365
Phone (253) 845-4934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000618 WA Part B Supplier - Clinic/Group Practice 9537055108 Receives reassigned benefits from 2 practitioners
Practice locations: Tacoma, WA; Puyallup, WA; Olympia, WA

National Provider Directory

National Provider Directory

Locations

1415 Harrison Ave NW
Olympia, WA 98502
Phone (360) 605-0163

1001 Eastside St SE
Olympia, WA 98501
Phone (253) 845-4934

1415 Harrison Ave NW
Ste 202
Olympia, WA 98502
Phone (360) 754-9090

801 E Main
Puyallup, WA 98372
Phone (253) 845-4934

2008 Olympic Hwy N
Shelton, WA 98584
Phone (360) 462-3683

2420 S Union Ave
Ste 230
Tacoma, WA 98405
Phone (253) 343-0915

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1235310657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MAIN STREET",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723365",
            "telephone_number": "253-845-4934",
            "fax_number": "253-845-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MAIN STREET",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723365",
            "telephone_number": "253-845-4934",
            "fax_number": "253-845-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DANIEL M.D, PS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "253-845-4934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00037757",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.