Active NPI
Michael Deverell Danaher, D.C.
- Chiropractor
- Cary, NC
National Provider Identifier
1730469412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4206
- Practice address
- 539 Kiesler Drive
Suite 104
Cary, NC 27518 - Phone
- (919) 387-7220
- NPI assigned
- Aug 25, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 4206 | NC | Primary |
Addresses
Primary practice location
539 Kiesler Drive
Suite 104
Cary, NC 27518
Mailing address
539 Kiesler Drive
Suite 104
Cary, NC 27518
Phone (919) 387-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111019000175 | NC | Practitioner - Chiropractic | 2466624325 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4206 | NC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mudryk Family Chiropractic, PA | Current | Accepting new patients | |
| Carolina Joint and Spine, PLLC | Chiropractor | Past | Accepting new patients |
Locations
539 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 387-7220
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.
-
- Physical Medicine & Rehabilitation Physician
- Cary, NC
- NPI 1124238084
Chiropractor
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National Medical University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mudryk Family Chiropractic PA
Practice addresses (Care Compare)
539 Keisler Dr
Suite 104
Cary, NC 27518-9320
Phone (919) 387-7220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1730469412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 KIESLER DRIVE",
"address_2": "SUITE 104",
"city": "CARY",
"state": "NC",
"postal_code": "27518",
"telephone_number": "919-387-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 KIESLER DRIVE",
"address_2": "SUITE 104",
"city": "CARY",
"state": "NC",
"postal_code": "27518",
"telephone_number": "919-387-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANAHER",
"first_name": "MICHAEL",
"middle_name": "DEVERELL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4206",
"primary": true
}
],
"identifiers": [],
"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 Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.