NPIMap

Organization Active NPI

Daniel K Wilcox MD PC

  • Durable Medical Equipment & Medical Supplies
  • Charlevoix, MI
National Provider Identifier
1013201110
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4301065867 Issued in MI
Legal business name
DANIEL K WILCOX MD PC
Practice address
14715 W Upright St
Charlevoix, MI 49720-1949
Phone
(231) 347-5155
Fax
(231) 347-6128
NPI assigned
Jun 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel K Wilcox, MD
Title
President
Phone
(231) 347-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4301065867 MI Primary

Addresses

Primary practice location

14715 W Upright St
Charlevoix, MI 49720-1949

Mailing address

4048 Cedar Bluff Dr
Suite 1
Petoskey, MI 49770-8895
Phone (231) 347-5155

National Provider Directory

National Provider Directory
Tax ID family
Daniel K Wilcox MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1013201110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR",
            "address_2": "SUITE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 W UPRIGHT ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201949",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL K WILCOX MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-347-5155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4301065867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.