Individual provider Active NPI

Daniel John Poff, D.C.

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1861839656
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3839 Issued in SC
Practice address
315 E Broad St
Greenville, SC 29601-2902
Phone
(989) 640-2536
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 3839 SC Primary

Addresses

Primary practice location

315 E Broad St
Greenville, SC 29601-2902

Mailing address

315 E Broad St
Greenville, SC 29601-2902
Phone (864) 271-4099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122001800 SC Practitioner - Chiropractic 7012143977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 E Broad St
B
Greenville, SC 29601-2902
Phone (864) 271-4099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3839SCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poff Chiropractic & Rehabilitation LLC CurrentSince Jul 15, 2013 Accepting new patients

Locations

315 E Broad St
Greenville, SC 29601
Phone (864) 271-4099

315 E Broad St
#B
Greenville, SC 29601
Phone (864) 271-4099

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1861839656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E BROAD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012902",
            "telephone_number": "864-271-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E BROAD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012902",
            "telephone_number": "989-640-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFF",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

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