Daniel M. Katz,D.O., PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001704 Issued in WA

Legal business name

DANIEL M. KATZ,D.O., PLLC

Practice address

405 Black Hills LN SW
Suite B1
Olympia, WA 98502-8661

Phone

(360) 705-1015

Fax

(360) 705-1313

NPI assigned

Feb 4, 2008

Last updated

Dec 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel M. Katz, D.O.NPI 1316087042

Title

Owner

Phone

(360) 705-1015

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Daniel M. Katz, D.O.

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1316087042
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1538347315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BLACK HILLS LN SW",
            "address_2": "SUITE B1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028661",
            "telephone_number": "360-705-1015",
            "fax_number": "360-705-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BLACK HILLS LN SW",
            "address_2": "SUITE B1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028661",
            "telephone_number": "360-705-1015",
            "fax_number": "360-705-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M. KATZ,D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-705-1015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0197132",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7925KA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197132",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8855152",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.