Individual provider Active NPI

Clare M McDaniel, DC

  • Chiropractor
  • Morgantown, WV
National Provider Identifier
1346231032
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
535 Issued in WV
Practice address
179 Hanalei Dr Ste 3
Morgantown, WV 26508-4303
Phone
(304) 598-3000
Fax
(304) 777-2429
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 535 WV Primary

Addresses

Primary practice location

179 Hanalei Dr Ste 3
Morgantown, WV 26508-4303

Mailing address

179 Hanalei Dr Ste 3
Morgantown, WV 26508-4303
Phone (304) 598-3000

Other identifiers 2

IdentifierTypeStateIssuer
0132132000MedicaidWV
001705962OtherWVBLUE CROSS BLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
535WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic PLLC Chiropractor CurrentSince Jun 16, 2024 Accepting new patients

Locations

179 Hanalei Dr
#3
Morgantown, WV 26508
Phone (304) 598-3000

Organizations & group practices 1

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1346231032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HANALEI DR STE 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084303",
            "telephone_number": "304-598-3000",
            "fax_number": "304-598-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HANALEI DR STE 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084303",
            "telephone_number": "304-598-3000",
            "fax_number": "304-777-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CLARE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132132000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001705962",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.