Active NPI
Daniel Patrick Bannard, DC
- Chiropractor
- Cary, NC
National Provider Identifier
1720164023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1970
- Practice address
- 915 Kildaire Farm Rd
Suite4
Cary, NC 27511-3936 - Phone
- (919) 461-8400
- NPI assigned
- Oct 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 | 1970 | NC | Primary |
Addresses
Primary practice location
915 Kildaire Farm Rd
Suite4
Cary, NC 27511-3936
Mailing address
915 Kildaire Farm Rd
Suite4
Cary, NC 27511-3936
Phone (919) 461-8400
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56214253001 | Other | NC | CIGNA |
| 10915274 | Other | NC | CAQH CRADENTIALING PROVID |
| 320254 | Other | NC | ACN |
| 890823C | Medicaid | NC | |
| 0004532911 | Other | NC | AETNA |
| 0823C | Other | NC | BLUE CROSS |
| 562142530 | Other | NC | HUMANA |
| 441437 | Other | NC | MAMSI |
| 0194L | Other | NC | CNC |
| 2454751 | Other | NC | ANTHEM |
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 |
|---|---|---|---|
| 1970 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bannard Family Chiropractic & Acupuncture Inc | Chiropractor | Current | Accepting new patients |
| Capital Physical Medicine. Inc | Current | Accepting new patients |
Locations
915 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 461-8400
915 Kildaire Farm Rd
Ste 4
Cary, NC 27511
Phone (919) 461-8400
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
- Cary, NC
- NPI 1497976328
-
- Health Service Clinic/Center
- Cary, NC
- NPI 1740626548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720164023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 KILDAIRE FARM RD",
"address_2": "SUITE4",
"city": "CARY",
"state": "NC",
"postal_code": "275113936",
"telephone_number": "919-461-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 KILDAIRE FARM RD",
"address_2": "SUITE4",
"city": "CARY",
"state": "NC",
"postal_code": "275113936",
"telephone_number": "919-461-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNARD",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "56214253001",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH CRADENTIALING PROVID",
"identifier": "10915274",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "320254",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890823C",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004532911",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0823C",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "562142530",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "441437",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNC",
"identifier": "0194L",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "2454751",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.