Individual provider Active NPI

Justin McDaniel, D.C.

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1669094645
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36622 Issued in CA
Practice address
507 Wilshire Blvd Apt 304
Santa Monica, CA 90401-1481
Phone
(704) 840-4281
NPI assigned
May 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36622 CA Primary
Chiropractor 111N00000X CHIR010362 GA

Addresses

Primary practice location

507 Wilshire Blvd Apt 304
Santa Monica, CA 90401-1481

Mailing address

507 Wilshire Blvd Apt 304
Santa Monica, CA 90401-1481
Phone (704) 840-4281

Other practice location 1

8305 W Sunset Blvd Ste C
Los Angeles, CA 90069-1515
Phone (323) 645-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC36622CAMDChiropractor
CHIR010362GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Chiropractic LLC Chiropractor CurrentSince Jun 5, 2022 Accepting new patients
The Wellpath Center P.C. Chiropractor PastSince May 1, 2020 Accepting new patients

Locations

650 Hamilton Ave SE
Ste C
Atlanta, GA 30312
Phone (404) 888-0666

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.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1669094645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WILSHIRE BLVD APT 304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011481",
            "telephone_number": "704-840-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WILSHIRE BLVD APT 304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011481",
            "telephone_number": "704-840-4281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8305 W Sunset Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900691515",
            "country_code": "US",
            "telephone_number": "323-645-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36622",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.