Individual provider Active NPI

Charles J Daniel Jr., DPM

  • Foot Surgery Podiatrist
  • Grand Junction, CO
National Provider Identifier
1366490666
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
CO486 Issued in CO
Practice address
201 W Park Dr
Grand Junction, CO 81505-1469
Phone
(970) 245-3338
Fax
(970) 245-9499
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X CO486 CO Primary

Addresses

Primary practice location

201 W Park Dr
Grand Junction, CO 81505-1469

Mailing address

201 W Park Dr
Grand Junction, CO 81505-1469
Phone (970) 245-3338

Other identifiers 5

IdentifierTypeStateIssuer
1366490666OtherCORAILROAD MEDICARE
01004860MedicaidCO
480019197OtherCORAILROAD MEDICARE
1366490666OtherCONPI
1720207863OtherCONPI GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000731 CO Practitioner - Podiatry 9234260654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates IncGroup PAC ID 3274509393, 12 clinicians

Practice addresses (Care Compare)

7505 Village Square Dr
Suite 101
Castle Pines, CO 80108-3693
Phone (303) 805-5156

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions1-10
Removal of nail tissue63
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO486COMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates, Inc. Foot & Ankle Surgery CurrentSince Nov 21, 2018 Accepting new patients
Podiatry Associates Inc Foot & Ankle Surgery CurrentSince Nov 21, 2018 Accepting new patients

Locations

1444 S Potomac St
Ste 230
Aurora, CO 80012
Phone (303) 805-5156

7505 Village Square Dr
Ste 101
Castle Pines, CO 80108
Phone (303) 805-5156

300 S Jackson St
Ste 310
Denver, CO 80209
Phone (303) 805-5156

4500 E 9th Ave
Ste 510
Denver, CO 80220
Phone (303) 333-6556

2727 Bryant St
Ste 400
Denver, CO 80211
Phone (303) 805-5156

9397 Crown Crest Blvd
Ste 311
Parker, CO 80138
Phone (303) 766-4516

Interoperability endpoints

  • Direct secure messaging: podiatryassociates.charlesdaniel@114863.advancedmd-direct.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1366490666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051469",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051469",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "CO486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1366490666",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004860",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480019197",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366490666",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1720207863",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.