Healthcare Provider Details

I. General information

NPI: 1285260257
Provider Name (Legal Business Name): DAVID O'NEIL DANIS III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 MASSACHUSETTS AVE
NORTH ANDOVER MA
01845-4143
US

IV. Provider business mailing address

198 MASSACHUSETTS AVE
NORTH ANDOVER MA
01845-4143
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-7550
  • Fax:
Mailing address:
  • Phone: 978-685-7550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number39153
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number1026596
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: