Active NPI
Daniel Lee Pennell, D.C.
- Chiropractor
- Mesquite, TX
National Provider Identifier
1891003851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11401
- Practice address
- 208 W Kearney St
Suite 102
Mesquite, TX 75149-3476 - Phone
- (972) 629-9181
- Fax
- (972) 629-9138
- NPI assigned
- Sep 23, 2010
- Last updated
- Jan 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11401 | TX | Primary |
Addresses
Primary practice location
208 W Kearney St
Suite 102
Mesquite, TX 75149-3476
Mailing address
PO Box 852604
Mesquite, TX 75185-2604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11401 | Other | TX | DOCTOR OF CHIROPRACTIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11401 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TSJR Service Corp | Past | Accepting new patients |
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.
-
- Rehabilitation Chiropractor
- Mesquite, TX
- NPI 1396183695
-
dba Texas Spine and Joint Rehabilitation
- Rehabilitation Chiropractor
- Mesquite, TX
- NPI 1548683253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389484800000",
"number": "1891003851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 852604",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751852604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W KEARNEY ST",
"address_2": "SUITE 102",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751493476",
"telephone_number": "972-629-9181",
"fax_number": "972-629-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNELL",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-23",
"last_updated": "2014-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTOR OF CHIROPRACTIC",
"identifier": "11401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.