Individual provider Active NPI

Daniel Robert Valeria, D.C.

  • Chiropractor
  • Algonquin, IL
National Provider Identifier
1558325936
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
1204 E. Algonquin Rd
Algonquin, IL 60102
Phone
(847) 658-3660
Fax
(847) 658-5418
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

1204 E. Algonquin Rd
Algonquin, IL 60102

Mailing address

4041 Georgetown Cir
Algonquin, IL 60102-6207
Phone (847) 658-3660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000239 IL Practitioner - Chiropractic 0446342562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1204 E Algonquin Rd a
Algonquin, IL 60102-5446
Phone (847) 658-3660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038008823ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back of America LTD. CurrentSince Aug 1, 2007 Accepting new patients

Locations

1204 E Algonquin Rd
#A
Algonquin, IL 60102
Phone (847) 658-3660

1204 E Algonquin Rd
Algonquin, IL 60102
Phone (847) 658-3660

1204 E Algonquin Rd
Ste A
Algonquin, IL 60102
Phone (847) 658-3660

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1558325936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 GEORGETOWN CIR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026207",
            "telephone_number": "847-658-3660",
            "fax_number": "847-658-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E. ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-658-3660",
            "fax_number": "847-658-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIA",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.