Organization Active NPI

Danli Chiropractic & Wellness Incorporated

  • Chiropractor
  • Burlingame, CA
National Provider Identifier
1588054084
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26374 Issued in CA
Legal business name
DANLI CHIROPRACTIC & WELLNESS INCORPORATED
Practice address
340 Lorton Ave
Suite 203
Burlingame, CA 94010-4151
Phone
(650) 343-3444
Fax
(650) 343-3464
NPI assigned
Feb 4, 2015
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Dr. Tara R Danli, D.C.NPI 1023211554
Title
Owner/Doctor of Chiropractic
Phone
(650) 343-3444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26374 CA Primary

Addresses

Primary practice location

340 Lorton Ave
Suite 203
Burlingame, CA 94010-4151

Mailing address

340 Lorton Ave
Suite 203
Burlingame, CA 94010-4151
Phone (650) 343-3444

Other names 2

  • Danli Chiropractic & Wellness Inc. Other name
  • Danli Chiropractic & Wellness, Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019000482 CA Part B Supplier - Clinic/Group Practice 7315285608 Receives reassigned benefits from 1 practitioner
Practice locations: Burlingame, CA

National Provider Directory

National Provider Directory

Locations

340 Lorton Ave
Ste 203
Burlingame, CA 94010
Phone (650) 343-3444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1588054084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 LORTON AVE",
            "address_2": "SUITE 203",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104151",
            "telephone_number": "650-343-3444",
            "fax_number": "650-343-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LORTON AVE",
            "address_2": "SUITE 203",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104151",
            "telephone_number": "650-343-3444",
            "fax_number": "650-343-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANLI CHIROPRACTIC & WELLNESS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "DANLI",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "650-343-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danli Chiropractic & Wellness Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Danli Chiropractic & Wellness, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.