Organization Active NPI

Independent Intelligence LLC

  • Contractor
  • Anchorage, AK
National Provider Identifier
1689127490
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
1021970 Issued in AK
Legal business name
INDEPENDENT INTELLIGENCE LLC
Practice address
401 Dailey Ave Apt 3
Anchorage, AK 99515-3484
Phone
(907) 947-8297
NPI assigned
Jul 27, 2016
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Daniel Koepke
Title
Owner Operator
Phone
(907) 947-8297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X 1021970 AK Primary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X

Addresses

Primary practice location

401 Dailey Ave Apt 3
Anchorage, AK 99515-3484

Mailing address

PO Box 230505
Anchorage, AK 99523-0505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1689127490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230505",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995230505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DAILEY AVE APT 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153484",
            "telephone_number": "907-947-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT INTELLIGENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "KOEPKE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "907-947-8297"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "AK",
            "license": "1021970",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 19, 2018; 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.