DR. DANIEL E LOGAN (NPI# 1952466864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952466864 |
| Entity Type | Individual |
| Full Name | DR. DANIEL E LOGAN |
| Credential | D.C. |
| Practice Address |
6666 W Peoria Ave 114 Glendale AZ 85302-7014 |
| Practice Telephone | 6237762991 |
| Practice Fax Number | 6237760377 |
| Mailing Telephone | 6237762991 |
| Mailing Fax Number | 6237760377 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2011-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4288 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD PROVIDER NUMBER | AZ0932260 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771865 | Daniel Blake Logan | Podiatrist | 426a Beecher Rd, Gahanna, OH 43230-1797 | 2005-06-22 |
| 1033263983 | Daniel P Logan | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-01-22 |
| Street Address |
6666 W PEORIA AVE 114 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717373 | Mark Lawrence Jaffe | Optometrist | 6666 W Peoria Ave, Ste 109, Glendale, AZ 85302-7032 | 2005-06-01 |
| 1427414341 | Familt& Esthetic Dentistry | Clinic/Center | 6666 W Peoria Ave, Glendale, AZ 85302-7014 | 2016-01-07 |
| 1164805081 | 20/20 Image Glendale Plc | Optometrist | 6666 W Peoria Ave, Suite 108-109, Glendale, AZ 85302-7014 | 2015-07-09 |
| 1215157482 | Vincent Raymond Dancel | Contractor | 6666 W Peoria Ave, Suite 125, Glendale, AZ 85302-7014 | 2007-04-27 |
| 1902958135 | Dr. Mark L. Jaffe | Optometrist | 6666 W Peoria Ave, Suite 109, Glendale, AZ 85302-7014 | 2007-01-17 |
| 1699757922 | Robert J. Clanton | Optometrist | 6666 W Peoria Ave, Ste. 109, Glendale, AZ 85302-7014 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750528 | Innovative Pain and Wellness Plc | Chiropractor | 8110 W Union Hills Dr Ste 320, Glendale, AZ 85308-8181 | 2020-11-04 |
| 1174139042 | Fitness Covered Group LLC | Chiropractor | 654 Hawthorne St, Glendale, CA 91204-1002 | 2020-09-16 |
| 1558979732 | Fitness Covered LLC | Chiropractor | 654 Hawthorne St Ste B, Glendale, CA 91204-1002 | 2020-07-14 |
| 1386283182 | Jensen Moore Chiropractic Pllc | Chiropractor | 6033 W Bell Rd Ste H, Glendale, AZ 85308-3764 | 2019-12-27 |
| 1346888336 | Farzan Billimoria | Chiropractor | 18301 N 79th Ave Ste H192, Glendale, AZ 85308-8457 | 2019-12-20 |
| 1083170492 | Flex Pt and Chiropractic Medical Group A Medical Corporation | Chiropractor | 500 N Central Ave Ste 225, Glendale, CA 91203-1994 | 2019-02-11 |
| 1194200493 | Trinity Chiropractic, LLC | Chiropractor | 18275 N 59th Ave Ste 178, Glendale, AZ 85308-1254 | 2018-10-02 |
| 1033600101 | Michael Dellacorte | Chiropractor | 2505 Canada Blvd, Glendale, CA 91208-2042 | 2018-05-24 |
| 1891202909 | The Wellness Center, Inc | Chiropractor | 870 S Colorado Blvd Ste 200, Glendale, CO 80246-2080 | 2018-01-10 |
| 1598295180 | Weathersby Chiropractic | Chiropractor | 6033 W. Bell Road, Suite H, Glendale, AZ 85308-3764 | 2017-06-15 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.