Individual provider Active NPI

Daniel Robert Staight, D.C.

  • Chiropractor
  • Casper, WY
National Provider Identifier
1649275066
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
306 Issued in WY
Practice address
223 S Kenwood St
Casper, WY 82601-3030
Phone
(307) 237-7898
Fax
(307) 265-3695
NPI assigned
Jun 14, 2005
Last updated
Nov 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 306 WY Primary
Orthopedic Chiropractor 111NX0800X 306 WY

Addresses

Primary practice location

223 S Kenwood St
Casper, WY 82601-3030

Mailing address

223 S Kenwood St
Casper, WY 82601-3030
Phone (307) 237-7898

Other identifiers 1

IdentifierTypeStateIssuer
118403200MedicaidWY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113001171 WY Practitioner - Chiropractic 8426247982 Practice locations: Casper, WY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

223 S Kenwood St
Casper, WY 82601-3030
Phone (307) 237-7898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1649275066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S KENWOOD ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013030",
            "telephone_number": "307-237-7898",
            "fax_number": "307-265-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S KENWOOD ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013030",
            "telephone_number": "307-237-7898",
            "fax_number": "307-265-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIGHT",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "306",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WY",
            "license": "306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118403200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.