DANIEL WAHLIN
NPI 1114656980
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since June 07, 2022PECOS Enrolled
1301 S CRISMON RD, MESA, AZ 85209(480) 373-2376 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel Wahlin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL WAHLIN (NPI 1114656980) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114656980
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL WAHLIN
Location Address1301 S CRISMON RDMesa, AZ 85209-3767
Mailing Address1301 S Crismon RdMesa, AZ 85209-3767
Sole ProprietorNo
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1114656980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1301 S CRISMON RD, Mesa, AZ 85209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel Wahlin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1301 S CRISMON RD
MESA, AZ 85209
Pediatrics (Neonatal-Perinatal Medicine)
1301 S CRISMON RD
MESA, AZ 85209
Nurse Anesthetist, Certified Registered
1301 S CRISMON RD
MESA, AZ 85209
Internal Medicine
1301 S CRISMON RD
MESA, AZ 85209
Surgery
1301 S CRISMON RD
MESA, AZ 85209
Family Medicine
1301 S CRISMON RD
MESA, AZ 85209
Student in an Organized Health Care Education/Training Program
1301 S CRISMON RD
MESA, AZ 85209
Internal Medicine (Gastroenterology)
1301 S CRISMON RD
MESA, AZ 85209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Wahlin's NPI number?

The NPI number for Daniel Wahlin is 1114656980. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Daniel Wahlin located?

Daniel Wahlin practices at 1301 S Crismon Rd, Mesa, AZ 85209. The listed phone number is (480) 373-2376.

What is Daniel Wahlin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Wahlin enrolled in Medicare?

Yes. Daniel Wahlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Wahlin was last updated on June 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.