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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: August 09, 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
Phone(410) 592-7300
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
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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

Services this provider delivered to Medicare fee-for-service patients, from the 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.
1,732 services132 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.

JCC LLC
Chiropractor
14307 JARRETTSVILLE PIKE
PHOENIX, MD 21131
Baltimore County (410) 592-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Wise's NPI number?

The NPI number for Daniel Wise is 1700903390. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Daniel Wise located?

Daniel Wise practices at 14307 Jarrettsville Pike, Phoenix, MD 21131. The listed phone number is (410) 592-7300.

What is Daniel Wise's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Daniel Wise enrolled in Medicare?

Yes. Daniel Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Wise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.