Individual provider Active NPI

David Mark Danielson, DO

  • Diagnostic Radiology Physician
  • Tacoma, WA
National Provider Identifier
1962471094
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OP00001967 Issued in WA
Practice address
9040 Jackson Ave
Tacoma, WA 98431-8766
Phone
(253) 968-2130
NPI assigned
Mar 14, 2006
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OP00001967 WA Primary

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-8766

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-8766

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080117000350 WA Practitioner - Diagnostic Radiology 4284715012 Reassigns benefits to 6 organizations
I20251103000051 TX Practitioner - Diagnostic Radiology 4284715012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians

Practice addresses (Care Compare)

1141 Bell Hill PL
Dupont, WA 98327-9036
Phone (253) 761-4200

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

3038 Mallorca Dr
Conroe, TX 77301-3452
Phone (586) 741-3772

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP00001967WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Oct 1, 2024 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Aug 1, 2024 Accepting new patients
Adventhealth West Florida Imaging Inc CurrentSince Jul 15, 2026 Accepting new patients
Tra-Minw P S CurrentSince Oct 19, 2024 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Oct 1, 2024 Accepting new patients
Adventhealth West Florida Imaging Inc CurrentSince Jul 15, 2026 Accepting new patients
Adventhealth West Florida Imaging Inc CurrentSince Jul 13, 2026 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince May 3, 2025 Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince Dec 4, 2025 Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients
Spartan Radiology, Inc Diagnostic Radiology PastSince Jan 1, 2020 Accepting new patients

Locations (25 of 32)

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100

21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1962471094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984318766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984318766",
            "telephone_number": "253-968-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP00001967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.