Individual provider Active NPI

Daniel Duwayne Hamilton, D.C.

  • Chiropractor
  • Dry Ridge, KY
National Provider Identifier
1821382201
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
270502 Issued in KY
Practice address
1113 Fashion Ridge Rd
Dry Ridge, KY 41035-9609
Phone
(859) 643-6100
Fax
(859) 643-6105
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 270502 KY Primary
Chiropractor 111N00000X 32010 CA

Addresses

Primary practice location

1113 Fashion Ridge Rd
Dry Ridge, KY 41035-9609

Mailing address

5900 Centennial Cir Ste 180
Florence, KY 41042-4249
Phone (859) 620-1325

Other practice location 1

4590 Riverside Dr
Suite B
Chino, CA 91710-3980
Phone (909) 464-9880

Other practice location 2

5900 Centennial Cir Ste 180
Florence, KY 41042-4249
Phone (859) 620-1325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914002092 KY Practitioner - Chiropractic 8224467121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Health Centers of Dry Ridge LLCGroup PAC ID 7719307990, 3 clinicians

Practice addresses (Care Compare)

1113 Fashion Ridge Rd
Dry Ridge, KY 41035-9609
Phone (859) 643-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32010CAMDClinical Psychologist
270502KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Centers of Dry Ridge LLC Chiropractor CurrentSince Mar 1, 2024 Accepting new patients
Kevin Michael Brown Chiropractic Corp Chiropractor CurrentSince May 1, 2020 Accepting new patients
Pacific Empire Physical Medicine and Healthcare Inc PastSince Jan 25, 2024 Accepting new patients
Pacific Empire Chiropractic a Professional Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

2940 W Florida Ave
Ste B
Hemet, CA 92545
Phone (951) 391-3714

1113 Fashion Ridge Rd
Dry Ridge, KY 41035
Phone (859) 643-6100

5900 Centennial Cir
Ste 180
Florence, KY 41042
Phone (859) 620-1325

Organizations & group practices 4

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1821382201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CENTENNIAL CIR STE 180",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424249",
            "telephone_number": "859-620-1325",
            "fax_number": "859-282-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 FASHION RIDGE RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359609",
            "telephone_number": "859-643-6100",
            "fax_number": "859-643-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4590 Riverside Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917103980",
            "country_code": "US",
            "telephone_number": "909-464-9880",
            "fax_number": "909-591-4720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Centennial Cir Ste 180",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424249",
            "country_code": "US",
            "telephone_number": "859-620-1325",
            "fax_number": "859-282-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DANIEL",
        "middle_name": "DUWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "270502",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dry Ridge, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.