Denali Facial Plastic Surgery & ENT, LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

DENALI FACIAL PLASTIC SURGERY & ENT, LLC

Doing business as

Denali Facial Plastic Surgery & ENT

Practice address

1108 7TH Ave Apt 250
Fort Worth, TX 76104-4774

Phone

(907) 987-4988

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Wesley Reid McIlwain, MDNPI 1477973220

Title

Owner

Phone

(907) 987-4988

Specialties & licenses 1

Addresses

Other names 1

• DENALI FACIAL PLASTIC SURGERY & ENT Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wesley McIlwain, M.D.

  • Otolaryngology Physician
  • Sarasota, FL
  • NPI 1477973220
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1568238111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 7TH AVE APT 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 7TH AVE APT 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044774",
            "telephone_number": "907-987-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI FACIAL PLASTIC SURGERY & ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "MCILWAIN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-987-4988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENALI FACIAL PLASTIC SURGERY & ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simran Demla
• Cassandra Marie Demora, RN
• Dustin Stonewall Demoss, DO
• Rachel Murff Demoss, PA
• Margaret Theresa Dempsey, PH.D.
• Cynthia Diane Denison, LVN
• George C. Denkowski, PHD
• Kathryn Mary Denkowski, ED.D.
• Cara Dennert, MS, RD, LD
• Madilyn Dennington

• Otolaryngology/Facial Plastic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.