Daniel S. Flake, D.C.,CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC3716 Issued in AZ

Practice address

411 S Beeline Hwy
Suite C
Payson, AZ 85541-4892

Phone

(928) 474-8417

Fax

(928) 474-8417

NPI assigned

May 3, 2006

Last updated

Mar 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Chiropractic, LLC

  • Chiropractor
  • Payson, AZ
  • NPI 1932387511
  Authorized official Same address or phone
• Payson Chiropractic LLC

  • Chiropractor
  • Payson, AZ
  • NPI 1679112759
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1710945324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S BEELINE HWY",
            "address_2": "SUITE C",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414892",
            "telephone_number": "928-474-8417",
            "fax_number": "928-474-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S BEELINE HWY",
            "address_2": "SUITE C",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414892",
            "telephone_number": "928-474-8417",
            "fax_number": "928-474-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKE",
        "first_name": "DANIEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C.,CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC3716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "120590",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raphael Filippi, PTA
• Eugene Michael Finan, MD
• Fitz Ilias Inc
• Brett David Flaherty, DMD
• Joseph Cale Flaherty, DMD
• Stacey Joyce Foote, PT
• Troy Slade Ford, O.D.
• Brandon J French
• Fresenius Medical Care Payson, LLC (Fresenius Kidney Care Payson)
• Frontier Dental Arts

• Chiropractor in Payson, AZ
• Providers in Payson, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.