Daniel Mardones, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD-7483 Issued in HI

Practice address

2530 Debarr Rd
Anchorage, AK 99508-2948

Phone

(907) 265-4220

Fax

(907) 264-3515

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1194705475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241889",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241889",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082948",
            "telephone_number": "907-265-4220",
            "fax_number": "907-264-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDONES",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-02-03",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AK",
            "license": "3427",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD-7483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD02511",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Marchini
• Aide' Rodriguez Marcontell, HS1
• Conley L Marcum Jr., O.D.
• Ericka Marie Marcum
• Stephanie Nicole Marcus, LVN
• Marek Martynowicz Inc.
• Maura Marek
• Abdou Kemo Marenah
• Coumba Ceesay Marenah, CARE COORDINATOR
• Modou Marenah

• Child & Adolescent Psychiatry Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Child & Adolescent Psychiatry Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.