Individual provider Active NPI

Michael Daly David, D.C., D.A.C.A.N.

  • Neurology Chiropractor
  • Sebastian, FL
National Provider Identifier
1467596700
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH0003399 Issued in FL
Practice address
1623 US Highway 1
Suite B6
Sebastian, FL 32958-3879
Phone
(772) 388-8788
Fax
(772) 388-8819
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH0003399 FL Primary

Addresses

Primary practice location

1623 US Highway 1
Suite B6
Sebastian, FL 32958-3879

Mailing address

1623 US Highway 1
Suite B6
Sebastian, FL 32958-3879
Phone (772) 388-8788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000280 FL Practitioner - Chiropractic 4183798507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1623 US Hwy 1
Suite B6
Sebastian, FL 32958-3879
Phone (772) 388-8788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003399FLMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David Chiropractic Limited Liability Company Neurology CurrentSince Feb 18, 2008 Accepting new patients
Ted H Perkins P a PastSince Feb 25, 2015 Accepting new patients
Bryan M Wells DC PLLC PastSince Nov 13, 2017 Accepting new patients

Locations

1623 US Highway 1
Ste B6
Sebastian, FL 32958
Phone (772) 388-8788

Organizations & group practices 3

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1467596700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 US HIGHWAY 1",
            "address_2": "SUITE B6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583879",
            "telephone_number": "772-388-8788",
            "fax_number": "772-388-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 US HIGHWAY 1",
            "address_2": "SUITE B6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583879",
            "telephone_number": "772-388-8788",
            "fax_number": "772-388-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MICHAEL",
        "middle_name": "DALY",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.A.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH0003399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.