Denali Iom

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

984616 Issued in AK

Legal business name

DENALI IOM

Practice address

1211 Griffith Ave
Owensboro, KY 42301-2816

Phone

(270) 929-4141

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

John D Hayden

Title

President

Phone

(270) 929-4141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1215276282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 GRIFFITH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012816",
            "telephone_number": "270-929-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 GRIFFITH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012816",
            "telephone_number": "270-929-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI IOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-929-4141"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AK",
            "license": "984616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bradley Dehart, MSW
• Melissa Grace Dehart, DC
• Whitney Leann Deitz, DMD
• Barbara B. Delker, LMFT
• Sarah Deloach, LCSW
• Michael Dennis
• Dental Designs of Owensboro
• Jason Denton, DPT
• Dermatology Center of Owensboro PLLC
• Devoted Senior Care, LLC

• Medical Specialty Clinic/Center in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Medical Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.