NPIMap

Organization Active NPI

Mad Dogs & Englishmen

  • Case Manager/Care Coordinator
  • Wasilla, AK
National Provider Identifier
1538565981
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
741871 Issued in AK
Legal business name
MAD DOGS & ENGLISHMEN
Practice address
5900 W Locksley Loop
Wasilla, AK 99623-0837
Phone
(907) 357-7478
Fax
(907) 357-7428
NPI assigned
Nov 12, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Danny Kilanowski
Title
Administrator
Phone
(907) 354-4627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 741871 AK Primary

Addresses

Primary practice location

5900 W Locksley Loop
Wasilla, AK 99623-0837

Mailing address

7362 W Parks Hwy
Wasilla, AK 99623-9300
Phone (907) 357-7478

Other identifiers 1

IdentifierTypeStateIssuer
1770737546MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Mad Dogs Englishmen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1538565981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239300",
            "telephone_number": "907-357-7478",
            "fax_number": "907-357-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W LOCKSLEY LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230837",
            "telephone_number": "907-357-7478",
            "fax_number": "907-357-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAD DOGS & ENGLISHMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "KILANOWSKI",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-354-4627"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "741871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770737546",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.