Individual provider Active NPI

Daniel Michael McCleery, D.C.

  • Nutrition Chiropractor
  • Bend, OR
National Provider Identifier
1982891511
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
27-1294 Issued in OR
Practice address
404 NE Greenwood Ave
Bend, OR 97701-4608
Phone
(541) 389-7103
Fax
(541) 389-1173
NPI assigned
Sep 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 27-1294 OR Primary

Addresses

Primary practice location

404 NE Greenwood Ave
Bend, OR 97701-4608

Mailing address

404 NE Greenwood Ave
Bend, OR 97701-4608
Phone (541) 389-7103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000913 OR Practitioner - Chiropractic 8022294594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

61573 Orion Dr
Bend, OR 97702-2475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27-1294ORMDNutrition Chiropractor
1294ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
McCleery Chiropractic Health Centre PC CurrentSince Jan 1, 2003 Accepting new patients

Locations

404 NE Greenwood Ave
Bend, OR 97701
Phone (541) 330-5503

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1982891511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014608",
            "telephone_number": "541-389-7103",
            "fax_number": "541-389-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014608",
            "telephone_number": "541-389-7103",
            "fax_number": "541-389-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEERY",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "27-1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.