Active NPI
John Wesley Daniels, D.C.
- Chiropractor
- San Leandro, CA
National Provider Identifier
1336352186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15563
- Practice address
- 1300 Bancroft Ave
Suite 104
San Leandro, CA 94577-5147 - Phone
- (510) 351-0628
- Fax
- (510) 351-6054
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 15563 | CA | |
| Chiropractor | 111N00000X | 15563 | CA | Primary |
Addresses
Primary practice location
1300 Bancroft Ave
Suite 104
San Leandro, CA 94577-5147
Mailing address
1300 Bancroft Ave
Suite 104
San Leandro, CA 94577-5147
Phone (510) 351-0628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15563 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1336352186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 BANCROFT AVE",
"address_2": "SUITE 104",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775147",
"telephone_number": "510-351-0628",
"fax_number": "510-351-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BANCROFT AVE",
"address_2": "SUITE 104",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775147",
"telephone_number": "510-351-0628",
"fax_number": "510-351-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "JOHN",
"middle_name": "WESLEY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "15563",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.