NPIMap

Organization Active NPI

Denali Asthma and Pulmonary, LLC

  • Pulmonary Disease Physician
  • Anchorage, AK
National Provider Identifier
1922495407
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
7517 Issued in AK
Legal business name
DENALI ASTHMA AND PULMONARY, LLC
Practice address
4001 Laurel St
Suite 206
Anchorage, AK 99508-5300
Phone
(907) 770-5864
Fax
(907) 770-5868
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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
(907) 770-5864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 7517 AK Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X 7517 AK

Addresses

Primary practice location

4001 Laurel St
Suite 206
Anchorage, AK 99508-5300

Mailing address

4001 Laurel St
Suite 206
Anchorage, AK 99508-5300
Phone (907) 770-5864

National Provider Directory

National Provider Directory

Locations

4001 Laurel St
Ste 206
Anchorage, AK 99508
Phone (907) 561-1565

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1922495407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LAUREL ST",
            "address_2": "SUITE 206",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085300",
            "telephone_number": "907-770-5864",
            "fax_number": "907-770-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAUREL ST",
            "address_2": "SUITE 206",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085300",
            "telephone_number": "907-770-5864",
            "fax_number": "907-770-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI ASTHMA AND PULMONARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-08-26",
        "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": "907-770-5864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AK",
            "license": "7517",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AK",
            "license": "7517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.