NPIMap

Individual provider Active NPI

Daniel M. Katz, D.O.

  • Family Medicine Physician
  • Olympia, WA
National Provider Identifier
1316087042
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001704 Issued in WA
Practice address
405 Black Hills LN SW
Suite B1
Olympia, WA 98502-8661
Phone
(360) 705-1015
Fax
(360) 705-1313
NPI assigned
Feb 8, 2007
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001704 WA Primary

Addresses

Primary practice location

405 Black Hills LN SW
Suite B1
Olympia, WA 98502-8661

Mailing address

PO Box 11667
Suite B1
Olympia, WA 98508-1667
Phone (360) 705-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823001189 WA Practitioner - Family Practice 6608807219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 Black Hills Lane SW
B1
Olympia, WA 98502-8661
Phone (360) 705-1015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OP00001704WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M. Katz,D.O., PLLC Family Medicine CurrentSince Jul 1, 2005 Accepting new patients
David L. Lukens,D.O.,P.S. Family Medicine Past Accepting new patients
Northwest Family & Spinal Clinic Inc PS Family Medicine Past Accepting new patients

Locations

405 Black Hills Ln SW
#B1
Olympia, WA 98502
Phone (360) 705-1015

405 Black Hills Ln SW
Ste B1
Olympia, WA 98502
Phone (360) 705-1015

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1316087042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11667",
            "address_2": "SUITE B1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081667",
            "telephone_number": "360-705-1015",
            "fax_number": "360-705-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BLACK HILLS LN SW",
            "address_2": "SUITE B1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028661",
            "telephone_number": "360-705-1015",
            "fax_number": "360-705-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.