Individual provider Active NPI

Daniel A. Falk, D.C.

  • Chiropractor
  • Conway, SC
National Provider Identifier
1609829837
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2320 Issued in SC
Practice address
1501 9TH Ave
Conway, SC 29526-4107
Phone
(843) 248-0104
Fax
(843) 248-4046
NPI assigned
May 18, 2006
Last updated
May 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2320 SC Primary

Addresses

Primary practice location

1501 9TH Ave
Conway, SC 29526-4107

Mailing address

1501 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-0104

Other identifiers 1

IdentifierTypeStateIssuer
CH2320MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000365 SC Practitioner - Chiropractic 9830170497 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

1501 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-0104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2320SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Falk Family Total Health, LLC CurrentSince Mar 17, 2019 Accepting new patients
Falk Family Chiropractic Center P.C Chiropractor CurrentSince Jun 17, 2004 Accepting new patients

Locations

1421 3rd Ave
Conway, SC 29526
Phone (843) 248-0104

1501 9th Ave
Conway, SC 29526
Phone (843) 248-0104

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, 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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1609829837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-0104",
            "fax_number": "843-248-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-0104",
            "fax_number": "843-248-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "DANIEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2320",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.