Active NPI
Denali Asthma & Pulmonary LLC
- Pulmonary Disease Physician
- Wasilla, AK
National Provider Identifier
1912357286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- DENALI ASTHMA & PULMONARY LLC
- Practice address
- 351 W Parks Hwy
Suite 100a
Wasilla, AK 99654-6920 - Phone
- (907) 357-8483
- NPI assigned
- Jun 17, 2016
- Last updated
- Jun 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce M Shotwell, MD
- Title
- President
- Phone
- (214) 824-4412
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
351 W Parks Hwy
Suite 100a
Wasilla, AK 99654-6920
Mailing address
351 W Parks Hwy
Suite 100a
Wasilla, AK 99654-6920
Phone (907) 357-8483
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466121600000",
"number": "1912357286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 W PARKS HWY",
"address_2": "SUITE 100A",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546920",
"telephone_number": "907-357-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 W PARKS HWY",
"address_2": "SUITE 100A",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546920",
"telephone_number": "907-357-8483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENALI ASTHMA & PULMONARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-17",
"last_updated": "2016-06-17",
"status": "A",
"authorized_official_last_name": "SHOTWELL",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-824-4412",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.