Individual provider Active NPI

Danial Brennan, D.C.

  • Chiropractor
  • Tukwila, WA
National Provider Identifier
1891112918
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01544 Issued in NV
Practice address
7200 S 180TH St Ste 101
Tukwila, WA 98188-5548
Phone
(425) 970-4655
Fax
(725) 970-4657
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01544 NV Primary

Addresses

Primary practice location

7200 S 180TH St Ste 101
Tukwila, WA 98188-5548

Mailing address

PO Box 14136
Seattle, WA 98114-0136

Other names 1

  • Danial Holton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191213001406 WA Practitioner - Chiropractic 7911330451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chan Healthcare Group PSGroup PAC ID 6204992092, 3 clinicians

Practice addresses (Care Compare)

12419 Renton Ave S
Seattle, WA 98178-3708
Phone (206) 772-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01544NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chan Healthcare Group PS Chiropractor CurrentSince Sep 21, 2019 Accepting new patients

Locations

12419 Renton Ave S
Seattle, WA 98178
Phone (206) 772-0088

7200 S 180th St
Ste 101
Tukwila, WA 98188
Phone (206) 429-5260

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1891112918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14136",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981140136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S 180TH ST STE 101",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885548",
            "telephone_number": "425-970-4655",
            "fax_number": "725-970-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "DANIAL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIAL",
            "last_name": "HOLTON",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.