Jerry W Daniel, THERAPY DIR.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

359 Issued in AR

Practice address

3470 Landers Rd
North Little Rock, AR 72117-2541

Phone

(615) 778-4066

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639294820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672626",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 LANDERS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172541",
            "telephone_number": "615-778-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JERRY",
        "middle_name": "W",
        "credential": "THERAPY DIR.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "AR",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale E. Colclasure, D. D. S.
• Grace Katherine Dane
• Helen C Dangelo, P.D.
• Daniel & Max, LLC (Stanton Optical)
• Daniel C Heard DDS PA (Central Arkansas Family Dentistry)
• Natalie Melia Daniel
• Dillon Daniels, D.O.
• Stephen F. Daniels, PH.D
• Danny R. Cook, D.D.S., P.a.
• James E Darr III, M.D.

• Preventive Medicine/Occupational Environmental Medicine Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.