Daniel J Depner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10001774 Issued in WA

Practice address

309 E Farwell Rd
Ste 204
Spokane, WA 99218-8207

Phone

(509) 879-0039

Fax

(509) 466-4798

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Wandermere Occupational Medicine PLLC

  • Occupational Medicine Clinic/Center
  • Spokane, WA
  • NPI 1295114346
  NPD (past) Authorized official
• Wa-Spok VH Urgent Care LLC

  • Urgent Care Clinic/Center
  • Spokane Valley, WA
  • NPI 1811147283
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1851492771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 W ALCOTT CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089141",
            "telephone_number": "509-879-0039",
            "fax_number": "509-466-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD",
            "address_2": "STE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992188207",
            "telephone_number": "509-879-0039",
            "fax_number": "509-466-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPNER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10001774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8404352",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Department of Veterans Affairs
• Department of Veterans Affairs Medical Center
• Department of Veterans Affairs Spokane Veterans Home
• Aldora Ann Depaula
• Tracy Depledge, MSW
• Sarah Elizabeth Depner
• Kimberly Deppisch, DO
• Richard James Deppisch II, DO
• Dawn Marie Depriest, FNP-C
• Depth Psychology Services, LLC

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.