Individual provider Active NPI

Carl Jamie Daniel, D.C.

  • Chiropractor
  • Danville, VA
National Provider Identifier
1922044619
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556302 Issued in VA
Practice address
2276 Franklin Tpke
Suite 115
Danville, VA 24540-5284
Phone
(434) 483-8118
Fax
(434) 234-0263
NPI assigned
Jun 21, 2006
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556302 VA Primary

Addresses

Primary practice location

2276 Franklin Tpke
Suite 115
Danville, VA 24540-5284

Mailing address

441 Piney Forest Rd
Suite G
Danville, VA 24540-4154
Phone (434) 793-0700

Other identifiers 2

IdentifierTypeStateIssuer
010140463MedicaidVA
C05545OtherGROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000553 VA Practitioner - Chiropractic 3173575966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2276 Franklin Tpke
Suite 115
Danville, VA 24540-5284
Phone (434) 483-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Chiropractic PLLC Chiropractor CurrentSince Nov 28, 2015 Accepting new patients

Locations

2276 Franklin Tpke
Ste 115
Danville, VA 24540
Phone (434) 483-8118

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, 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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1922044619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PINEY FOREST RD",
            "address_2": "SUITE G",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404154",
            "telephone_number": "434-793-0700",
            "fax_number": "434-793-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 FRANKLIN TPKE",
            "address_2": "SUITE 115",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405284",
            "telephone_number": "434-483-8118",
            "fax_number": "434-234-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "CARL",
        "middle_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010140463",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C05545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.