Active NPI
Daniel Edward Tulip, MD
- Pediatrics Physician
- Anchorage, AK
National Provider Identifier
1528044898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3083
- Practice address
- 4001 Dale St
#213
Anchorage, AK 99508-5428 - Phone
- (907) 562-2944
- Fax
- (907) 562-6321
- NPI assigned
- Dec 19, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3083 | AK | Primary |
Addresses
Primary practice location
4001 Dale St
#213
Anchorage, AK 99508-5428
Mailing address
4001 Dale St
#213
Anchorage, AK 99508-5428
Phone (907) 562-2944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD3083 | Medicaid | AK |
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 |
|---|---|---|---|
| 3083 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Past | Accepting new patients | |
| The Childrens Clinic Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- danieltulip@childclinic.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Anchorage, AK
- NPI 1376529610
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1528044898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 DALE ST",
"address_2": "#213",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085428",
"telephone_number": "907-562-2944",
"fax_number": "907-562-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 DALE ST",
"address_2": "#213",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085428",
"telephone_number": "907-562-2944",
"fax_number": "907-562-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULIP",
"first_name": "DANIEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "3083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD3083",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.