Daniels Family Chiropractic, P.C.
Organization Active NPI Chiropractor · Warsaw, NY
NPI 1669565784 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1669565784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- X008549 (NY)
- Legal business name
- DANIELS FAMILY CHIROPRACTIC, P.C.
- Practice address
- 433 N Main St
Warsaw, NY 14569-1029 - Phone
- (585) 786-5833
- Fax
- (585) 786-2465
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Terry L Daniels, D.C.
- Title
- Owner/Vice President
- Phone
- (585) 786-5830
Practitioners 4
-
Dawn M Daniels, D.C.
-
Terry L Daniels, DC CHIROPRACTOR
-
Bridget Lynn Givens, LCSW
-
Sue Ann Williams, LMT/COTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090522000308 | NY | Part B Supplier - Clinic/Group Practice | 5890844732 |
Receives reassigned benefits from 2 practitioners Practice locations: Warsaw, NY |
National Provider Directory
Locations
433 N Main St
Warsaw, NY 14569
Phone (585) 409-8711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X008549 | NY | Yes |
Addresses
Primary practice location
433 N Main St
Warsaw, NY 14569-1029
Mailing address
433 N Main St
Warsaw, NY 14569-1029
Phone (585) 786-5833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5899439 | Other | NY | GHI |
| 002253862 | Other | NY | BLUE CROSS WNY |
| 8810843 | Other | NY | INDEPENDENT HEALTH |
| 943505 | Other | NY | MPN |
| CO8449-0 | Other | NY | WORKERS' COMPENSATION # |
| 1669565784 | Other | BLUE CHOICE | |
| P010008549 | Other | NY | BLUE CROSS ROCHESTER |
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.