Active NPI
Danielle Nicole Menneto, D.C.
- Chiropractor
- Port Orange, FL
National Provider Identifier
1659695583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9865
- Practice address
- 4647 Clyde Morris Blvd Unit 502
Port Orange, FL 32129-3001 - Phone
- (386) 202-2714
- Fax
- (352) 589-5549
- NPI assigned
- Mar 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9865 | FL | Primary |
Addresses
Primary practice location
4647 Clyde Morris Blvd Unit 502
Port Orange, FL 32129-3001
Mailing address
4647 Clyde Morris Blvd Unit 502
Port Orange, FL 32129-3001
Phone (386) 202-2714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4647 Clyde Morris Blvd
Unit 502
Port Orange, FL 32129-3001
Phone (368) 202-2714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9865 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore & Menneto Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Wagner Chiropractic PA | Chiropractor | Past | Accepting new patients |
Locations
3959 S Nova Rd
Ste 9
Port Orange, FL 32127
Phone (386) 202-2714
4647 Clyde Morris Blvd
Unit 502
Port Orange, FL 32129
Phone (368) 202-2714
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 and National Provider Directory roles.
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- NPI 1346420114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1659695583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4647 CLYDE MORRIS BLVD UNIT 502",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293001",
"telephone_number": "386-202-2714",
"fax_number": "352-589-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 CLYDE MORRIS BLVD UNIT 502",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293001",
"telephone_number": "386-202-2714",
"fax_number": "352-589-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNETO",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.