Active NPI
Denapoli Orthopedic Care, LLC
- Health Service Clinic/Center
- Fairbanks, AK
National Provider Identifier
1144601741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1019666
- Legal business name
- DENAPOLI ORTHOPEDIC CARE, LLC
- Practice address
- 3419 Airport Way
Suite D
Fairbanks, AK 99709-4761 - Phone
- (907) 328-2273
- Fax
- (907) 328-2276
- NPI assigned
- Jun 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jan Denapoli, PA-C
- Title
- Owner/Manager
- Phone
- (907) 347-8427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 1019666 | AK | Primary |
Addresses
Primary practice location
3419 Airport Way
Suite D
Fairbanks, AK 99709-4761
Mailing address
3419 Airport Way
Suite D
Fairbanks, AK 99709-4761
Phone (907) 328-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDA0141 | Medicaid | AK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433808000000",
"number": "1144601741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 AIRPORT WAY",
"address_2": "SUITE D",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094761",
"telephone_number": "907-328-2273",
"fax_number": "907-328-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 AIRPORT WAY",
"address_2": "SUITE D",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094761",
"telephone_number": "907-328-2273",
"fax_number": "907-328-2276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENAPOLI ORTHOPEDIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A",
"authorized_official_last_name": "DENAPOLI",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "907-347-8427",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "AK",
"license": "1019666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MDA0141",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.