Individual provider Active NPI

David Allen Danielson

  • Private Vehicle
  • Zumbrota, MN
National Provider Identifier
1407312614
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
383010 Issued in MN
Practice address
615 W 5TH St
Zumbrota, MN 55992-1157
Phone
(507) 884-1481
Fax
(507) 732-7370
NPI assigned
Feb 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 383010 MN
Private Vehicle 347C00000X 383010 MN Primary

Addresses

Primary practice location

615 W 5TH St
Zumbrota, MN 55992-1157

Mailing address

615 W 5TH St
Zumbrota, MN 55992-1157
Phone (507) 884-1481

Other identifiers 1

IdentifierTypeStateIssuer
383010OtherMNSTS #383010

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

LicenseStateTypeSpecialty
383010MNMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Daves Transport LLC Private Vehicle Past Accepting new patients

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1407312614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 5TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921157",
            "telephone_number": "507-884-1481",
            "fax_number": "507-732-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 5TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921157",
            "telephone_number": "507-884-1481",
            "fax_number": "507-732-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "383010",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MN",
            "license": "383010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STS #383010",
            "identifier": "383010",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zumbrota, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.