John Bernard Daniels, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4682-12 Issued in WI

Practice address

2609 Rapids Dr
Racine, WI 53404-1741

Phone

(262) 638-9999

Fax

(262) 638-0742

NPI assigned

Dec 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniels Chiropractic Office IncGroup PAC ID 6406923200, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdaniels@dcoi0001.direct.chirotouch.md

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.

• Daniels Chiropractic Office Inc

  • Clinic/Center
  • Racine, WI
  • NPI 1376715722
  Medicare reassignment Care Compare group NPD
• Chiropractic Company - Mke Downtown LTD

  • Chiropractor
  • Milwaukee, WI
  • NPI 1750323242
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1982907978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 RAPIDS DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534041741",
            "telephone_number": "262-638-9999",
            "fax_number": "262-638-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 RAPIDS DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534041741",
            "telephone_number": "262-638-9999",
            "fax_number": "262-638-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JOHN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4682-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daily Inspirations Home Care LLC
• Dana R. Trotter MD SC
• Daniels Chiropractic Office Inc
• Daniel Bruce Daniels, D.C.
• Donald Thomas Daniels, D.C.
• Tracy Daniels, CSAC, LPC, ICS
• Daniel Dashner, LCSW, CSAC
• Donna R Daufenbach, MD
• Glenn S Davis, M.D.
• Jakia Mashay Davis, LPC-IT

• Chiropractor in Racine, WI
• Providers in Racine, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.