Individual provider Active NPI

Daniel Macdougall, DC

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1407407497
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12462 Issued in FL
Practice address
5633 State Road 54
New Port Richey, FL 34652-6020
Phone
(727) 372-0091
Fax
(727) 372-0192
NPI assigned
Sep 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 CH12462 FL Primary

Addresses

Primary practice location

5633 State Road 54
New Port Richey, FL 34652-6020

Mailing address

3660 E Bay Dr Apt 728
Largo, FL 33771-1921
Phone (717) 817-1022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125002888 FL Practitioner - Chiropractic 2567895998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baywest Medical, LLCGroup PAC ID 2567847148, 3 clinicians

Practice addresses (Care Compare)

5633 State Rd
Suite 54
New Port Richey, FL 34652-6020
Phone (727) 372-0091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12462FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Baywest Health and Rehab LLC Chiropractor CurrentSince Sep 23, 2020 Accepting new patients
Baywest Medical, LLC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients

Locations

5633 State Road 54
New Prt Rchy, FL 34652
Phone (727) 372-0091

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1407407497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 E BAY DR APT 728",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711921",
            "telephone_number": "717-817-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526020",
            "telephone_number": "727-372-0091",
            "fax_number": "727-372-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.