Provider Demographics
NPI:1629645429
Name:CAGAPE, DANIEL LEE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LEE
Last Name:CAGAPE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5302
Mailing Address - Country:US
Mailing Address - Phone:408-519-2269
Mailing Address - Fax:408-273-6048
Practice Address - Street 1:133 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5302
Practice Address - Country:US
Practice Address - Phone:408-519-2269
Practice Address - Fax:408-273-6048
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor