Randal L McDaniel, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC2416 Issued in TX

Practice address

1026 Titus St
Gilmer, TX 75644-3514

Phone

(903) 843-5643

Fax

(903) 843-4403

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Glaze Chiropractic Clinic

  • Chiropractor
  • Gilmer, TX
  • NPI 1215934682
  NPD Authorized official

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437156643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756440949",
            "telephone_number": "903-843-5643",
            "fax_number": "903-843-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 TITUS ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756443514",
            "telephone_number": "903-843-5643",
            "fax_number": "903-843-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "RANDAL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "DC2416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine I. Lollar, LCSW
• Longview Wellness Center, Inc.
• Andrea L Loyd, RN, FNP-BC
• Weston Luke Mayhan
• Adam Oliver McDaniel, DO
• Robert Bruce McManus, DO
• Med Shop Pharmacy Inc
• Med Shop Pharmacy Inc
• Med Shop Total Care, Inc
• Gina Michelle Monk

• Sports Physician Chiropractor in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.