Individual provider Active NPI

Daniel Adam Clearfield, DO

  • Sports Medicine (Family Medicine) Physician
  • North Richland Hills, TX
National Provider Identifier
1306046446
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
P0185 Issued in TX
Practice address
7500 Davis Blvd
Suite 200
North Richland Hills, TX 76182-7402
Phone
(817) 900-3539
Fax
(817) 900-3549
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 009582 OH
Sports Medicine (Family Medicine) Physician 207QS0010X P0185 TX Primary

Addresses

Primary practice location

7500 Davis Blvd
Suite 200
North Richland Hills, TX 76182-7402

Mailing address

7500 Davis Blvd
Suite 200
North Richland Hills, TX 76182-7402
Phone (817) 900-3539

Other identifiers 3

IdentifierTypeStateIssuer
060009788OtherTXRAILROAD MEDICARE
288904001MedicaidTX
8XC862OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
009582OHMDSports Medicine (Family Medicine) Physician
P0185TXMDSports Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1306046446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DAVIS BLVD",
            "address_2": "SUITE 200",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761827402",
            "telephone_number": "817-900-3539",
            "fax_number": "817-900-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DAVIS BLVD",
            "address_2": "SUITE 200",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761827402",
            "telephone_number": "817-900-3539",
            "fax_number": "817-900-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARFIELD",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "009582",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "P0185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060009788",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288904001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8XC862",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.