Individual provider Active NPI

Daniel Terry Cole, D.C.

  • Chiropractor
  • Waverly, TN
National Provider Identifier
1861660896
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1915 Issued in TN
Practice address
40 Walton Dr
Waverly, TN 37185-3383
Phone
(931) 296-7220
NPI assigned
Feb 12, 2008
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1915 TN Primary

Addresses

Primary practice location

40 Walton Dr
Waverly, TN 37185-3383

Mailing address

40 Walton Dr
Waverly, TN 37185-3383
Phone (931) 296-7220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090506000376 TN Practitioner - Chiropractic 5294883948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 Pavo St
Waverly, TN 37185-1527
Phone (931) 296-7220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1915TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Brings Life Chiropractor CurrentSince Mar 1, 2012 Accepting new patients
Life Source Creating Wellness Ctr Inc Chiropractor Past Accepting new patients

Locations

103 Pavo St
Waverly, TN 37185
Phone (931) 296-7220

40 Walton Dr
Ste C
Waverly, TN 37185
Phone (931) 296-7220

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, 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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1861660896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WALTON DR",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371853383",
            "telephone_number": "931-296-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WALTON DR",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371853383",
            "telephone_number": "931-296-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DANIEL",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.