Active NPI
Justin McDaniel, D.C.
- Chiropractor
- Santa Monica, CA
National Provider Identifier
1669094645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DC36622 | CA | MD | Chiropractor |
| CHIR010362 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| The Wellpath Center P.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Atlanta, GA
- NPI 1205582343
-
- Chiropractor
- Kennesaw, GA
- NPI 1043663560
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.