Denali Surgical Services, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

DENALI SURGICAL SERVICES, LLC

Practice address

12110 Business Blvd Ste 6 #410
Eagle River, AK 99577-7798

Phone

(907) 202-8301

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Silva

Title

Pams Npi Administrator

Phone

(210) 598-4287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1215443122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD STE 6 #410",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777798",
            "telephone_number": "907-202-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD STE 6 #410",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777798",
            "telephone_number": "907-202-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "210-598-4287"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Dawson
• Lauren Granier Dean, OTR/L
• Eldon Lee Dekay, DMD
• Juliane Delozier
• Jessi Lyla Demit
• Denis S. Corral, D.D.S., P.C.
• Michelle Lynn Denny, ANP MSN
• Courtney Despos, PT
• Monica Devine
• Kamber D Dewitt

• Physician Assistant in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.