Individual provider Active NPI

Daniel Freeman, DC

  • Chiropractor
  • Falls Church, VA
National Provider Identifier
1285100644
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557523 Issued in VA
Practice address
510 W Annandale Rd Ste 300
Falls Church, VA 22046-4226
Phone
(703) 600-8208
Fax
(703) 437-2404
NPI assigned
Oct 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557523 VA Primary

Addresses

Primary practice location

510 W Annandale Rd Ste 300
Falls Church, VA 22046-4226

Mailing address

510 W Annandale Rd Ste 300
Falls Church, VA 22046-4226
Phone (703) 600-8208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215000377 NV Practitioner - Chiropractic 5193065654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

880 Seven Hills Dr
Suite 210
Henderson, NV 89052-4380
Phone (725) 219-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557523VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crafted Wellness & Sports Rehab Chiropractor CurrentSince Nov 30, 2021 Accepting new patients
United Chiropractic Center PastSince Feb 1, 2019 Accepting new patients

Locations

880 Seven Hills Dr
Ste 210
Henderson, NV 89052
Phone (725) 219-0676

Organizations & group practices 2

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1285100644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W ANNANDALE RD STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464226",
            "telephone_number": "703-600-8208",
            "fax_number": "703-437-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W ANNANDALE RD STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464226",
            "telephone_number": "703-600-8208",
            "fax_number": "703-437-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.