Individual provider Active NPI

Daniel Thomas Bailey, D.C.

  • Chiropractor
  • Ithaca, NY
National Provider Identifier
1659567287
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011541 Issued in NY
Practice address
108 S Albany St
Ithaca, NY 14850-5446
Phone
(607) 227-2504
Fax
(607) 272-1284
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011541 NY Primary

Addresses

Primary practice location

108 S Albany St
Ithaca, NY 14850-5446

Mailing address

108 S Albany St
Ithaca, NY 14850-5446
Phone (607) 227-2504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000637 NY Practitioner - Chiropractic 3274608997 Reassigns benefits to 1 organization
Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 S Albany St
Ithaca, NY 14850-5446
Phone (607) 227-2504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011541NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Chiropractic PLLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Court Street Chiropractic of Ithaca, P.C. Chiropractor Past Accepting new patients
Court St. Chiropractic of Ithaca, P.C. Chiropractor Past Accepting new patients
Rebecca Vonbergen Chiropractor Past Accepting new patients

Locations

108 S Albany St
Ithaca, NY 14850
Phone (315) 254-6870

Interoperability endpoints

  • Direct secure messaging: daniel.bailey.1@18477.direct.athenahealth.com

Organizations & group practices 4

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1659567287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505446",
            "telephone_number": "607-227-2504",
            "fax_number": "607-272-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505446",
            "telephone_number": "607-227-2504",
            "fax_number": "607-272-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.