Individual provider Active NPI

Daphne Kontos

  • Anesthesiology Physician
  • Casper, WY
National Provider Identifier
1437579240
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
TL5904 Issued in WY
Practice address
1233 E 2ND St
Casper, WY 82601-2926
Phone
(800) 822-7201
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 112393 MT
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X TL5904 WY Primary

Addresses

Primary practice location

1233 E 2ND St
Casper, WY 82601-2926

Mailing address

PO Box 3810
Salt Lake City, UT 84110-3810

Other practice location 1

185 S Orange Ave
Newark, NJ 07103-2757
Phone (973) 972-4300

Other practice location 2

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805000745 MT Practitioner - Anesthesiology 4789922410 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112393MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District CurrentSince Sep 18, 2023 Accepting new patients
Wyoming Anesthesia, LLC Anesthesiology CurrentSince Oct 18, 2019 Accepting new patients
Benefis Hospitals Inc CurrentSince Jul 1, 2022 Accepting new patients
North Lincoln County Hospital District Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1437579240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012926",
            "telephone_number": "800-822-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONTOS",
        "first_name": "DAPHNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "112393",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "TL5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.