Active NPI
Daniel Thomas Madar, D.C.
- Chiropractor
- Grand Blanc, MI
National Provider Identifier
1669538856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DM007047
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950B552340 | Other | MI | BCBS |
| 3144031 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DM007047 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Blanc Eyes PLLC | Past | 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.
-
- Optician
- Grand Blanc, MI
- NPI 1902998099
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.