DANIEL THOMAS WISE D.C.
NPI 1700903390
Chiropractor in Phoenix, MD

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
14307 JARRETTSVILLE PIKE, PHOENIX, MD 21131(410) 592-7300(410) 666-0348 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel Thomas Wise D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL THOMAS WISE D.C. (NPI 1700903390) is an individual chiropractor in Phoenix, Maryland, licensed in Maryland (C004959) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Life Chiropractic College (1986).

NPPES Registry Identity

NPI1700903390
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDANIEL THOMAS WISECredential: D.C.
Location Address14307 JARRETTSVILLE PIKEPhoenix, MD 21131-1763
Mailing AddressPo Box 38, 14307 Jarrettsville PikePhoenix, MD 21131-0038 · (410) 592-7300 · Fax (410) 666-0348
Fax(410) 666-0348
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1986
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1700903390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MD · C004959
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

14307 JARRETTSVILLE PIKE, Phoenix, MD 21131

Other Identifiers 4

OtherR130MD · Federal-carefirst
OtherLY34MD · Carefirst-blue Cross
Medicare ID-Type Unspecified382MMD
Other192539MD · Coventry Health Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Thomas Wise D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204851975
PECOS Enrollment IDI20051011001189
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,098 services99 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
39 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
14307 JARRETTSVILLE PIKE
PHOENIX, MD 21131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700903390, enumerated as an "individual" on March 26, 2007.

The provider is located at 14307 JARRETTSVILLE PIKE PHOENIX, MD 21131 and the phone number is (410) 592-7300.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.