Daedalus Wings, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46162N Issued in CA

Legal business name

DAEDALUS WINGS, INC.

Practice address

2325 3Rd St
Ste. 242
San Francisco, CA 94107-3138

Phone

(415) 552-6277

Fax

(415) 520-2050

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bart Kylstra

Title

Ceo

Phone

(415) 552-6277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rio Mobility Doing business as

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1851446041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 3RD ST",
            "address_2": "STE. 242",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073138",
            "telephone_number": "415-552-6277",
            "fax_number": "415-520-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 3RD ST",
            "address_2": "STE. 242",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073138",
            "telephone_number": "415-552-6277",
            "fax_number": "415-520-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEDALUS WINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "KYLSTRA",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-552-6277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46162N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851446041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Dadasovich, MA, MFT
• Amy Beth Daddario
• Judith P Daddio, PNP
• Sahar Dadvand
• Michael W. Dae, M.D.
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• Jenifer V Daganzo, AU.D.
• Sally Daganzo, M.D.
• Janeece M Dagen, LMFT
• Madelyn Dagg

• Durable Medical Equipment & Medical Supplies in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.