Organization Active NPI

DM Care Coordination

Doing business as none

  • Case Management Agency
  • Wasilla, AK
National Provider Identifier
1447473335
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
290674 Issued in AK
Legal business name
DM CARE COORDINATION
Doing business as
none
Practice address
5325 Aspen St.
Wasilla, AK 99687-2023
Phone
(907) 373-4692
Fax
(907) 373-4629
NPI assigned
Apr 10, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Donald Kenton HenryNPI 1487833521
Title
Owner
Phone
(907) 373-4692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 290674 AK Primary

Addresses

Primary practice location

5325 Aspen St.
Wasilla, AK 99687-2023

Mailing address

PO Box 872023
Wasilla, AK 99687-2023
Phone (907) 373-4692

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1447473335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872023",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996872023",
            "telephone_number": "907-373-4692",
            "fax_number": "907-373-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 ASPEN ST.",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996872023",
            "telephone_number": "907-373-4692",
            "fax_number": "907-373-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM CARE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "KENTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-373-4692",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "290674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 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.