Individual provider Active NPI

Daniel Louis Kirschner, D.C.

  • Sports Physician Chiropractor
  • Arcadia, FL
National Provider Identifier
1881745958
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH00-7539 Issued in FL
Practice address
936 N Mills Ave
Arcadia, FL 34266-8780
Phone
(863) 494-7110
Fax
(863) 494-0434
NPI assigned
Jan 16, 2007
Last updated
May 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH00-7539 FL Primary

Addresses

Primary practice location

936 N Mills Ave
Arcadia, FL 34266-8780

Mailing address

936 N Mills Ave
Arcadia, FL 34266-8780
Phone (863) 494-7110

Other identifiers 1

IdentifierTypeStateIssuer
3813720-00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000148 FL Practitioner - Chiropractic 7214104132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

936 N Mills Ave
Arcadia, FL 34266-8780
Phone (863) 494-7110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00-7539FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Chiropractic Clinic, Inc Sports Physician CurrentSince Feb 1, 1999 Accepting new patients
Arcadia Chiropractic Clinic Current Accepting new patients
Jamie Kirschner, DC Corp PastSince Apr 30, 2021 Accepting new patients

Locations

936 N Mills Ave
Arcadia, FL 34266
Phone (863) 494-7110

12687 SW County Road 769
Ste 3A
Lake Suzy, FL 34269
Phone (941) 766-7110

Organizations & group practices 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1881745958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 N MILLS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668780",
            "telephone_number": "863-494-7110",
            "fax_number": "863-494-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 N MILLS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668780",
            "telephone_number": "863-494-7110",
            "fax_number": "863-494-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "DANIEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH00-7539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3813720-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.