NPIMap

Organization Active NPI

Mad Dogs & Englishmen

  • Point of Service
  • Wasilla, AK
National Provider Identifier
1770737546
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
741871 Issued in AK
Legal business name
MAD DOGS & ENGLISHMEN
Practice address
5900 W. Locksley Loop
Wasilla, AK 99654-0837
Phone
(907) 357-7477
Fax
(907) 357-7477
NPI assigned
Nov 6, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Mr. Daniel S Kilanowski, CARE COORDINATORNPI 1710375209
Title
Owner
Phone
(907) 357-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 741871 AK Primary

Addresses

Primary practice location

5900 W. Locksley Loop
Wasilla, AK 99654-0837

Mailing address

7362 W Parks Hwy
Box 204
Wasilla, AK 99654-9132
Phone (907) 357-7477

Other identifiers 1

IdentifierTypeStateIssuer
1851518815OtherAKNPI

Other names 1

  • Mad Dogs & Englishmen Former legal business name

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": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1770737546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W PARKS HWY",
            "address_2": "BOX 204",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996549132",
            "telephone_number": "907-357-7477",
            "fax_number": "907-357-7477"
        },
        {
            "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": "996540837",
            "telephone_number": "907-357-7477",
            "fax_number": "907-357-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAD DOGS & ENGLISHMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "KILANOWSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-357-7477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CARE COORDINATOR"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AK",
            "license": "741871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851518815",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mad Dogs & Englishmen",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 2, 2008; 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.