NPIMap

Organization Active NPI

Capstone Family Medical

  • Non-Pharmacy Dispensing Site
  • Wasilla, AK
National Provider Identifier
1306023452
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CAPSTONE FAMILY MEDICAL
Practice address
3223 E Palmer Wasilla Hwy
Wasilla, AK 99654-7236
Phone
(952) 653-2528
NPI assigned
Jan 30, 2008
Organization subpart
Yes
Parent organization
CAPSTONE FAMILY MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Wade Erickson
Title
Medical Director
Phone
(952) 653-2528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3223 E Palmer Wasilla Hwy
Wasilla, AK 99654-7236

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248

National Provider Directory

National Provider Directory
Tax ID family
Capstone Family Medical9 organizations share this tax ID, including this one
Part of
Capstone Family Medical

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1306023452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 E PALMER WASILLA HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547236",
            "telephone_number": "952-653-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE FAMILY MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPSTONE FAMILY MEDICAL",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-653-2528"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.