Organization Active NPI

Alcantara Enterprises Incorporated

Doing business as Kasaganaan Enterprise

  • Durable Medical Equipment & Medical Supplies
  • Shoreline, WA
National Provider Identifier
1457733859
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
602927366 Issued in WA
Legal business name
ALCANTARA ENTERPRISES INCORPORATED
Doing business as
Kasaganaan Enterprise
Practice address
239 NE 178TH St
Shoreline, WA 98155-3538
Phone
(206) 361-2645
Fax
(206) 420-1638
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Mr. Rodil Deang AlcantaraNPI 1245459114
Title
President
Phone
(206) 361-2645

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
Durable Medical Equipment & Medical Supplies 332B00000X 602927366 WA Primary

Addresses

Primary practice location

239 NE 178TH St
Shoreline, WA 98155-3538

Mailing address

239 NE 178TH St
Shoreline, WA 98155-3538
Phone (206) 361-2645

Other names 1

  • Kasaganaan Enterprise 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": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1457733859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 NE 178TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553538",
            "telephone_number": "206-361-2645",
            "fax_number": "206-420-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 NE 178TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553538",
            "telephone_number": "206-361-2645",
            "fax_number": "206-420-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCANTARA ENTERPRISES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "RODIL",
        "authorized_official_middle_name": "DEANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-361-2645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602927366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kasaganaan Enterprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.