Organization Active NPI

Daly Chiropractic & Wellness Center Inc

  • Chiropractor
  • Titusville, FL
National Provider Identifier
1609062934
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7728 Issued in FL
Legal business name
DALY CHIROPRACTIC & WELLNESS CENTER INC
Practice address
2708 Garden St
Titusville, FL 32796-3120
Phone
(321) 267-4324
Fax
(321) 267-7908
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. David Gary Daly, DCNPI 1831120138
Title
PVTS
Phone
(321) 267-4324

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 CH7728 FL Primary

Addresses

Primary practice location

2708 Garden St
Titusville, FL 32796-3120

Mailing address

2708 Garden St
Titusville, FL 32796-3120
Phone (321) 267-4324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000541 FL Part B Supplier - Clinic/Group Practice 0648353672 Receives reassigned benefits from 1 practitioner
Practice locations: Titusville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1609062934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963120",
            "telephone_number": "321-267-4324",
            "fax_number": "321-267-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963120",
            "telephone_number": "321-267-4324",
            "fax_number": "321-267-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALY CHIROPRACTIC & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PVTS",
        "authorized_official_telephone_number": "321-267-4324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.