Individual provider Active NPI

Daniel Andrew Davignon Jr., D.O.

  • Diagnostic Radiology Physician
  • Anchorage, AK
National Provider Identifier
1851624449
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
154617 Issued in AK
Practice address
2801 Debarr Rd
Anchorage, AK 99508-2932
Phone
(907) 792-7920
NPI assigned
Sep 14, 2009
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 2013016989 MO
Diagnostic Radiology Physician 2085R0202X 154617 AK Primary

Addresses

Primary practice location

2801 Debarr Rd
Anchorage, AK 99508-2932

Mailing address

PO Box 140349
Anchorage, AK 99514-0349
Phone (907) 792-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200922002206 TX Practitioner - Diagnostic Radiology 2466885629 Reassigns benefits to 1 organization
I20200928003003 AK Practitioner - Diagnostic Radiology 2466885629 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alyeska Imaging Center, Inc.Group PAC ID 6800264326, 9 clinicians
Alaska Imaging Associates LLCGroup PAC ID 5294633590, 27 clinicians

Practice addresses (Care Compare)

2480 S Woodworth Loop
Suite 140
Palmer, AK 99645-7408
Phone (907) 746-2929

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.62 of 100Reported as group
Quality
52.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Alaska Imaging Associates, LLC Diagnostic Radiology CurrentSince Aug 25, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Medical Park Family Care, LLC CurrentSince Oct 26, 2020 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Apr 25, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Cordova Community Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Jul 12, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Alyeska Imaging Center, Inc. Diagnostic Radiology CurrentSince Aug 15, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Anchorage Imaging Center LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Radiology Services of Alaska Inc. Diagnostic Radiology CurrentSince Aug 25, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
South Peninsula Hospital, Inc. Diagnostic Radiology CurrentSince Apr 25, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 2, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
McKinley Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Jul 12, 2021 Accepting new patients
Valley Upright Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corp CurrentSince Sep 2, 2020 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients

Locations

12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114

2110 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 644-2997

2110 E Northern Lights Blvd
Ste 101
Anchorage, AK 99508
Phone (907) 336-2273

2211 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 257-8176

2751 Debarr Rd
Ste 360
Anchorage, AK 99508
Phone (907) 336-3500

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

2841 Debarr Rd
Ste 12
Anchorage, AK 99508
Phone (907) 792-7900

4100 Lake Otis Pkwy
Ste 108
Anchorage, AK 99508
Phone (907) 339-2455

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

2480 S Woodworth Loop
Ste 140
Palmer, AK 99645
Phone (907) 746-2929

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

3765 E Blue Lupine Dr
Ste B
Wasilla, AK 99654

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1851624449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140349",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140349",
            "telephone_number": "907-792-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-792-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIGNON",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MO",
            "license": "2013016989",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "154617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.