Individual provider Active NPI

Daniel T. Biondi, D.O.

  • Family Medicine Physician
  • Denver, NC
National Provider Identifier
1558310078
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-01409 Issued in NC
Practice address
2826 Lake Shore Rd S
Denver, NC 28037-8228
Phone
(704) 562-1613
Fax
(704) 658-0418
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006-01409 NC Primary

Addresses

Primary practice location

2826 Lake Shore Rd S
Denver, NC 28037-8228

Mailing address

2826 Lake Shore Rd S
Denver, NC 28037-8228
Phone (704) 562-1613

Other identifiers 1

IdentifierTypeStateIssuer
5905122MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000208 NC Practitioner - Family Practice 0749200160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 W 10TH St
Charlotte, NC 28202-2229
Phone (704) 585-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-01409NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reserve Health, PC Family Medicine CurrentSince Dec 1, 2016 Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients

Locations

650 S Tryon St
Ste 440
Charlotte, NC 28202
Phone (704) 626-6266

135 W 10th St
Charlotte, NC 28202
Phone (704) 585-8040

131 Providence Rd
Ste 100
Charlotte, NC 28207
Phone (980) 265-8869

Interoperability endpoints

  • Direct secure messaging: daniel.biondi.1@13989.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13989/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daniel.biondi.1@21624.direct.athenahealth.com

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1558310078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 LAKE SHORE RD S",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378228",
            "telephone_number": "704-562-1613",
            "fax_number": "704-658-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 LAKE SHORE RD S",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378228",
            "telephone_number": "704-562-1613",
            "fax_number": "704-658-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIONDI",
        "first_name": "DANIEL",
        "middle_name": "T.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.