Daniel E Kislov, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

DANIEL E KISLOV, M.D.

Practice address

1675 Leahy St
Suite 328
Muskegon, MI 49442-5500

Phone

(231) 727-5565

Fax

(231) 727-5568

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel E Kislov, MDNPI 1770659872

Title

Owner

Phone

(231) 727-5565

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel E Kislov, MD

  • Plastic and Reconstructive Surgery Physician
  • Muskegon, MI
  • NPI 1770659872
  NPD (past) Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1063680585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 328",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-727-5565",
            "fax_number": "231-727-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 328",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-727-5565",
            "fax_number": "231-727-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E KISLOV, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "KISLOV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-727-5565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBCM",
            "identifier": "2406108272",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697919",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kay Dalton
• Randal Dame
• Deborah Dancz, BSW
• Daniel & Max, LLC
• Daniel C. Swarvar, D.D.S., P.C.
• Hannah Christine Darcy, PA-C
• Kimberly Ann Darcy, BSW
• Adam Joseph Darnell, M.D.
• Virendra K Das, MD
• Dasco HME, LLC (DASCO Home Medical Equipment)

• Plastic and Reconstructive Surgery Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Plastic and Reconstructive Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.