Individual provider Active NPI

Daniel Thomas Madar, D.C.

  • Chiropractor
  • Grand Blanc, MI
National Provider Identifier
1669538856
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DM007047 Issued in MI
Practice address
11225 S Saginaw St
15
Grand Blanc, MI 48439-1285
Phone
(810) 694-8031
Fax
(810) 736-3122
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DM007047 MI Primary

Addresses

Primary practice location

11225 S Saginaw St
15
Grand Blanc, MI 48439-1285

Mailing address

11225 S Saginaw St
15
Grand Blanc, MI 48439-1285
Phone (810) 694-8031

Other identifiers 2

IdentifierTypeStateIssuer
950B552340OtherMIBCBS
3144031MedicaidMI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DM007047MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Blanc Eyes PLLC PastSince Aug 3, 2002 Accepting new patients

Organizations & group practices 1

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1669538856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 S SAGINAW ST",
            "address_2": "15",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391285",
            "telephone_number": "810-694-8031",
            "fax_number": "810-736-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 S SAGINAW ST",
            "address_2": "15",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391285",
            "telephone_number": "810-694-8031",
            "fax_number": "810-736-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAR",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DM007047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950B552340",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3144031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.