Individual provider Active NPI

Raymond Daniels, DC

  • Chiropractor
  • Sparks, NV
National Provider Identifier
1366916140
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01736 Issued in NV
Practice address
2155 Green Vista Dr
Sparks, NV 89431-8542
Phone
(775) 250-9195
NPI assigned
Jan 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01736 NV Primary

Addresses

Primary practice location

2155 Green Vista Dr
Sparks, NV 89431-8542

Mailing address

2155 Green Vista Dr
Ste 202
Sparks, NV 89431-8512
Phone (775) 250-9195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729004338 NV Practitioner - Chiropractic 2365783248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Fisher Family Chiropractic LTDGroup PAC ID 8022001098, 2 clinicians

Practice addresses (Care Compare)

2155 Green Vista Dr
Suite 202
Sparks, NV 89431-8512
Phone (775) 337-0184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1366916140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 GREEN VISTA DR",
            "address_2": "STE 202",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318512",
            "telephone_number": "775-250-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 GREEN VISTA DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318542",
            "telephone_number": "775-250-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.