Individual provider Active NPI

Pamela Daniels, CH

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1760582043
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
25229 Issued in CA
Practice address
1165 Park Ave
San Jose, CA 95126-2922
Phone
(408) 292-9765
Fax
(408) 292-9766
NPI assigned
Sep 25, 2006
Last updated
Apr 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 25229 CA Primary

Addresses

Primary practice location

1165 Park Ave
San Jose, CA 95126-2922

Mailing address

1165 Park Ave
San Jose, CA 95126-2922
Phone (408) 292-9765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419001029 CA Practitioner - Chiropractic 8224023239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1165 Park Ave
San Jose, CA 95126-2922
Phone (408) 292-9765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25229CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniels Chiropractic, Inc Chiropractor CurrentSince Nov 5, 2008 Accepting new patients

Locations

1165 Park Ave
San Jose, CA 95126
Phone (408) 292-9765

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1760582043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 PARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262922",
            "telephone_number": "408-292-9765",
            "fax_number": "408-292-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 PARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262922",
            "telephone_number": "408-292-9765",
            "fax_number": "408-292-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "PAMELA",
        "credential": "CH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.

Verify at the official NPI Registry.