Active NPI
Daniel Liddell, M.D,
- Aerospace Medicine Physician
- Oak Harbor, WA
National Provider Identifier
1487034211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 29467
- Practice address
- Naval Health Clinic Oak Harbor 3475 N Saratoga St
Oak Harbor, WA 98278-0001 - Phone
- (603) 257-9915
- NPI assigned
- Jun 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 29467 | NE | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Naval Health Clinic Oak Harbor 3475 N Saratoga St
Oak Harbor, WA 98278-0001
Mailing address
22 Area Marine Centered Medical Home
BLDG 22190
Camp Pendleton, CA 92055
Phone (760) 725-3784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29467 | NE | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1487034211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 AREA MARINE CENTERED MEDICAL HOME",
"address_2": "BLDG 22190",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA ST",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982780001",
"telephone_number": "603-257-9915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDDELL",
"first_name": "DANIEL",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-07",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "NE",
"license": "29467",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.