Organization Active NPI

Denapoli Orthopedic Care, LLC

  • Health Service Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1144601741
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1019666 Issued in AK
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

Updated by the provider on Jun 9, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MDA0141MedicaidAK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.