Active NPI
Daniel O Billman, M.D.
- Pediatrics Physician
- Duluth, MN
National Provider Identifier
1902801442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 38109
- Practice address
- 1012 E 2ND St
Duluth, MN 55805-2200 - Phone
- (218) 249-7870
- Fax
- (218) 249-7801
- NPI assigned
- Jun 20, 2005
- Last updated
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 38109 | MN | |
| Pediatrics Physician | 208000000X | 38109 | MN | Primary |
Addresses
Primary practice location
1012 E 2ND St
Duluth, MN 55805-2200
Mailing address
1012 E 2ND St
Duluth, MN 55805-2200
Phone (218) 249-7870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134019100 | Medicaid | MN | |
| 31605100 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38109 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1902801442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 E 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052200",
"telephone_number": "218-249-7870",
"fax_number": "218-249-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 E 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052200",
"telephone_number": "218-249-7870",
"fax_number": "218-249-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLMAN",
"first_name": "DANIEL",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MN",
"license": "38109",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "38109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134019100",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31605100",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "1012 E 2nd St",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "558052200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.