DENALI PEDIATRIC DENTISTRY (NPI# 1205148301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205148301 |
Entity Type | Organization |
Organization Name | DENALI PEDIATRIC DENTISTRY |
Practice Address |
2600 Denali St Suite 500 Anchorage AK 99503-2746 |
Practice Telephone | 9073349543 |
Practice Fax Number | 9073349007 |
Mailing Telephone | 9073349543 |
Mailing Fax Number | 9073349007 |
Enumeration Date | 2010-07-07 |
Last Update Date | 2010-07-07 |
Authorized Official Name | DR. CLINT C HENRIE (MEMBER LLC) |
Authorized Official Telephone | 9078309771 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
2600 DENALI ST SUITE 500 |
City | ANCHORAGE |
State | AK |
Zip Code | 99503-2746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700865029 | Kristi H Fuller | Clinical Neuropsychologist | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2006-01-13 |
1972987386 | Karin Lee Schaff | Counselor | 2600 Denali St, Suite 302, Anchorage, AK 99503-2746 | 2015-07-15 |
1316375793 | Sheryl Martin | Counselor | 2600 Denali St, Suite 302, Anchorage, AK 99503-2746 | 2013-10-23 |
1558600031 | Melissa Mae Tourtillott | Counselor | 2600 Denali St, Suite 302, Anchorage, AK 99503-2746 | 2013-02-04 |
1205117975 | Nova Eyecare Center, LLC | Optometrist | 2600 Denali St, Suite 603, Anchorage, AK 99503-2746 | 2011-09-07 |
1194029488 | Krista Ann Pemberton | Social Worker | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2010-12-31 |
1821392119 | Maureen Young | Social Worker | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2010-12-31 |
1790015501 | Marilyn J. Carpenter | Marriage & Family Therapist | 2600 Denali St, Suite 606, Anchorage, AK 99503-2746 | 2009-12-30 |
1790019628 | Harden Healthcare, LLC | Psychiatry & Neurology | 2600 Denali St, Suite 606, Anchorage, AK 99503-2746 | 2009-09-24 |
1780813006 | Jonathan S Weaver | Dentist | 2600 Denali St, Suite 500, Anchorage, AK 99503-2746 | 2009-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
Find all providers in zip 99503 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
1205461084 | Hawkinson Dental Inc | Clinic/Center | 6200 Lake Otis Pkwy Ste 101, Anchorage, AK 99507-2098 | 2020-03-11 |
1932664877 | Alaska Family Dental LLC | Clinic/Center | 405 W 36th Ave Ste 101, Anchorage, AK 99503-5872 | 2019-02-05 |
1659862134 | Evelyn Haley Dmd | Clinic/Center | 615 E 82nd Ave Ste 100, Anchorage, AK 99518-3100 | 2018-05-21 |
1154672558 | Mabry and Mabry Dentistry, LLC | Clinic/Center | 2601 Boniface Pkwy Ste 1, Anchorage, AK 99504-3144 | 2012-09-25 |
1912179094 | Warren Urda Dds | Clinic/Center | 237 E Fireweed Ln Ste 101, Anchorage, AK 99503-2000 | 2008-03-28 |
1649348723 | Huffman Family Dentistry LLC | Clinic/Center | 12350 Industry Way #210, Anchorage, AK 99515 | 2006-11-30 |
1568540946 | Pete B. Higgins Dds LLC | Clinic/Center | 3901 Raspberry Rd, Anchorage, AK 99502-1973 | 2006-11-01 |
1003415696 | Ryan, LLC | Clinic/Center | 1310 E Dimond Blvd Ste 3, Anchorage, AK 99515-2031 | 2020-10-23 |
1972150365 | Anchorage Camai Dental Clinic, LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4314 | 2019-08-21 |
Find all providers in ANCHORAGE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.