Individual provider Active NPI

Michael Page Daniel, M.D.

  • Specialist
  • Burlington, NC
National Provider Identifier
1629170436
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34967 Issued in NC
Practice address
1041 Kirkpatrick Rd
Suite 250
Burlington, NC 27215-8148
Phone
(336) 584-1010
Fax
(336) 584-4005
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 34967 NC Primary

Addresses

Primary practice location

1041 Kirkpatrick Rd
Suite 250
Burlington, NC 27215-8148

Mailing address

1041 Kirkpatrick Rd
Suite 250
Burlington, NC 27215-8148
Phone (336) 584-1010

Other identifiers 2

IdentifierTypeStateIssuer
8926955MedicaidNC
2169970BOtherNCPSC MEDICARE PROVIDER#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34967NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Stone Center PLLC PastSince Jan 1, 1994 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1629170436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 250",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-584-1010",
            "fax_number": "336-584-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 250",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-584-1010",
            "fax_number": "336-584-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MICHAEL",
        "middle_name": "PAGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "34967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8926955",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSC MEDICARE PROVIDER#",
            "identifier": "2169970B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.