Individual provider Active NPI

Eric J Daniels, B.A., B.S., D.C.

  • Chiropractor
  • Cedar, MN
National Provider Identifier
1649505462
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5335 Issued in MN
Practice address
3158 Viking Blvd NW
Cedar, MN 55011-9339
Phone
(763) 753-0993
Fax
(763) 753-0994
NPI assigned
Oct 13, 2009
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5335 MN Primary

Addresses

Primary practice location

3158 Viking Blvd NW
Cedar, MN 55011-9339

Mailing address

3158 Viking Blvd NW
Cedar, MN 55011-9339
Phone (763) 753-0993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000583 MN Practitioner - Chiropractic 3274661244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5335MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hart Chiropractic P.a. Chiropractor PastSince Jan 30, 2006 Accepting new patients

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1649505462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 VIKING BLVD NW",
            "city": "CEDAR",
            "state": "MN",
            "postal_code": "550119339",
            "telephone_number": "763-753-0993",
            "fax_number": "763-753-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 VIKING BLVD NW",
            "city": "CEDAR",
            "state": "MN",
            "postal_code": "550119339",
            "telephone_number": "763-753-0993",
            "fax_number": "763-753-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "B.A., B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.