NPIMap

Individual provider Active NPI

Daniel Kilanowski

  • Case Manager/Care Coordinator
  • Wasilla, AK
National Provider Identifier
1710375209
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5900 W Locksley Loop
Wasilla, AK 99623-0837
Phone
(907) 315-7463
Fax
(907) 357-7428
NPI assigned
Jan 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

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

Addresses

Primary practice location

5900 W Locksley Loop
Wasilla, AK 99623-0837

Mailing address

7362 W Parks Hwy # 204
Wasilla, AK 99623-9300
Phone (907) 315-7463

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mad Dogs & Englishmen Past Accepting new patients
Mad Dogs & Englishmen Case Manager/Care Coordinator Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1710375209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W PARKS HWY # 204",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239300",
            "telephone_number": "907-315-7463",
            "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": "907-315-7463",
            "fax_number": "907-357-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILANOWSKI",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 2015; 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.