Individual provider Active NPI

Daniel Patrick Bannard, DC

  • Chiropractor
  • Cary, NC
National Provider Identifier
1720164023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1970 Issued in NC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
56214253001OtherNCCIGNA
10915274OtherNCCAQH CRADENTIALING PROVID
320254OtherNCACN
890823CMedicaidNC
0004532911OtherNCAETNA
0823COtherNCBLUE CROSS
562142530OtherNCHUMANA
441437OtherNCMAMSI
0194LOtherNCCNC
2454751OtherNCANTHEM

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
1970NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bannard Family Chiropractic & Acupuncture Inc Chiropractor CurrentSince Dec 3, 2012 Accepting new patients
Capital Physical Medicine. Inc CurrentSince Mar 30, 2013 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.

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.

Verify at the official NPI Registry.