Dan Komiya-Fakhrai, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

131838 Issued in KS

Practice address

3707 SW 6TH Ave
Topeka, KS 66606-2084

Phone

(785) 270-4650

Fax

(785) 270-4603

NPI assigned

Sep 29, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dan Komiya Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1013558246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 SW MARIPOSA PL",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666146500",
            "telephone_number": "785-608-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062084",
            "telephone_number": "785-270-4650",
            "fax_number": "785-270-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMIYA-FAKHRAI",
        "first_name": "DAN",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "131838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "KOMIYA",
            "credential": "RN, BSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jordan C Koci, APRN
• David James Koerner, APRN
• Cathy Kofoid, RN, BSN
• Mark W Kohls, DPT
• Angie Kolich, CPTA
• Laura J Kongs, RPT
• Christopher Wai Ho Koo, M.D.
• Lindsey L. Koochel, P.A.
• Erica Koontz, RN
• Judith Ann Kooser, M.D.

• All providers in Topeka, KS
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; 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.