Active NPI
Alcantara Enterprises Incorporated
Doing business as Kasaganaan Enterprise
- Durable Medical Equipment & Medical Supplies
- Shoreline, WA
National Provider Identifier
1457733859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 602927366
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rodil Deang Alcantara
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Contractor
- Shoreline, WA
- NPI 1245459114
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.