Edmond Michael Daniells, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1981 Issued in CT

Practice address

213 New Haven Ave FL 1
Milford, CT 06460-4830

Phone

(203) 783-9720

NPI assigned

Jul 30, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Milford Sport & Spine LLC

  • Clinic/Center
  • Milford, CT
  • NPI 1811717457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1871901132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 NEW HAVEN AVE FL 1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604830",
            "telephone_number": "203-787-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NEW HAVEN AVE FL 1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604830",
            "telephone_number": "203-783-9720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1579 Straits Tpke",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067621835",
            "country_code": "US",
            "telephone_number": "203-598-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELLS",
        "first_name": "EDMOND",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Dabu, DDS
• Carlie Dackson, LPC
• Resul Dalipi, MD
• Debra Daly-Gannon, LPC
• Daniel & Max, LLC
• Alyssa K Daniels, OTD, OTR/L
• Kay Kourounis David, MD
• James Henry Davis, D.C.
• Paul S Davis, M.D.
• Dean Har MD LLC

• Chiropractor in Milford, CT
• Providers in Milford, CT by specialty
• Chiropractor in Connecticut

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