Organization Active NPI

Noel Silan, DPM, PC

  • Podiatrist
  • Dededo, GU
National Provider Identifier
1194847103
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000004 Issued in GU
Legal business name
NOEL SILAN, DPM, PC
Practice address
138 Kayen Chando St
Express Med Pharmacy BLDG
Dededo, GU 96929
Phone
(671) 633-3668
Fax
(671) 647-0027
NPI assigned
Apr 3, 2007
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mrs. Carolyn Mafnas
Title
Billing Supervisor
Phone
(671) 646-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000004 GU Primary

Addresses

Primary practice location

138 Kayen Chando St
Express Med Pharmacy BLDG
Dededo, GU 96929

Mailing address

PO Box 11741
Tamuning, GU 96931
Phone (671) 633-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091214000274 GU Part B Supplier - Clinic/Group Practice 9931249505 Receives reassigned benefits from 1 practitioner
Practice locations: Tamuning, GU

National Provider Directory

National Provider Directory

Locations

590 S Marine Corps Dr
Ste 212
Tamuning, GU 96913
Phone (671) 647-2925

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1194847103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11741",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96931",
            "telephone_number": "671-633-3668",
            "fax_number": "671-647-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 KAYEN CHANDO ST",
            "address_2": "EXPRESS MED PHARMACY BLDG",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "96929",
            "telephone_number": "671-633-3668",
            "fax_number": "671-647-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL SILAN, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "MAFNAS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "671-646-3855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GU",
            "license": "POD000004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.