Active NPI
Dennis Edwards Daniels, MD
- Pulmonary Disease Physician
- Poplar Bluff, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26336
- Practice address
- 1906A Greenwood Dr
Poplar Bluff, MO 63901-2430 - Phone
- (573) 778-5913
- Fax
- (573) 776-7750
- NPI assigned
- Feb 3, 2006
- Last updated
- Dec 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2003009194 | MO | |
| Pulmonary Disease Physician | 207RP1001X | 26336 | WV | Primary |
Addresses
Primary practice location
1906A Greenwood Dr
Poplar Bluff, MO 63901-2430
Mailing address
1906A Greenwood Dr
Poplar Bluff, MO 63901-2430
Phone (573) 778-5913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209073204 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IN, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 Burkarth Rd
Suite 302
Warrensburg, MO 64093-3101
Phone (660) 747-5588
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Missouri Medical Center | Current | Accepting new patients | |
| Select Specialty Hospital - Evansville, LLC | Current | Accepting new patients | |
| Western Missouri Medical Center | Current | Accepting new patients | |
| Big Springs Medical Association | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Family Medicine | Current | Accepting new patients |
| Big Springs Medical Association | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc. | Family Medicine | Current | Accepting new patients |
| Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc. | Family Medicine | Current | Accepting new patients |
| SSM Health Care St. Louis | Pulmonary Disease | Current | Accepting new patients |
| Fayette Physician Network Inc | Family Medicine | Current | Accepting new patients |
| Western Missouri Medical Center | Pulmonary Disease | Current | Accepting new patients |
| Select Specialty Hospital - Evansville LLC | Current | Accepting new patients | |
| Fayette Physician Network Inc | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Missouri, Inc | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Steward Medical Group Inc. | Family Medicine | Current | Accepting new patients |
| Big Springs Medical Association | Current | Accepting new patients | |
| Fayette Physician Network Inc | Family Medicine | Current | Accepting new patients |
| Woman to Woman | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
400 SE 4th St
Evansville, IN 47713
Phone (812) 421-2312
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
109 Leroux St
Doniphan, MO 63935
Phone (573) 996-2136
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
1235 E Cherokee St
Slp Ctr
Springfield, MO 65804
Phone (417) 820-5467
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207
740 E State St
Sharon, PA 16146
Phone (724) 983-1980
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000
Interoperability endpoints
- ddaniels305135@ecommunitydirect.com
Organizations & group practices 24
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.
-
- General Acute Care Hospital
- Warrensburg, MO
- NPI 1083601330
-
dba Missouri Highlands Health Care
- Federally Qualified Health Center (FQHC)
- Van Buren, MO
- NPI 1225045321
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
dba Excela Health Cardiology
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
- Long Term Care Hospital
- Evansville, IN
- NPI 1750380739
-
- Internal Medicine Physician
- Brookfield, OH
- NPI 1902347438
Family Medicine, PA
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Internal Medicine Physician
- Poplar Bluff, MO
- NPI 1720041197
-
dba Missouri Highlands Health Care
- Federally Qualified Health Center (FQHC)
- Doniphan, MO
- NPI 1184195281
-
dba Missouri Highlands Health Care
- Federally Qualified Health Center (FQHC)
- Poplar Bluff, MO
- NPI 1972466233
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrensburg, MO
- NPI 1083601330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1265404222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906A GREENWOOD DR",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012430",
"telephone_number": "573-778-5913",
"fax_number": "573-776-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906A GREENWOOD DR",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012430",
"telephone_number": "573-778-5913",
"fax_number": "573-776-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "DENNIS",
"middle_name": "EDWARDS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2003009194",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "26336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209073204",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.