JANETTE CARMEN ULAK (NPI# 1922579143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922579143 |
| Entity Type | Individual |
| Full Name | JANETTE CARMEN ULAK |
| Practice Address |
49 Airport Rd Hooper Bay Clinic Hooper Bay AK 99604 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9077583500 |
| Mailing Telephone | 9075436229 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 07-046-DHAT | AK | Dental Providers |
| Street Address |
49 AIRPORT RD HOOPER BAY CLINIC |
| City | HOOPER BAY |
| State | AK |
| Zip Code | 99604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316180029 | Yukon Kuskokwim Health Corporation | Clinic/Center | 49 Airport Rd, Hooper Bay, AK 99604 | 2009-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322924 | Pauline Simon | Community Health Worker | 100 Airport Road, Hooper Bay, AK 99604 | 2016-08-28 |
| 1619187325 | Martha Simon | Counselor | Old Library Bldg., Hooper Bay, AK 99604 | 2007-05-23 |
| 1548470099 | Elias Stone | Counselor | Old Library Building, Clinic, Hooper Bay, AK 99604 | 2007-05-23 |
| 1639672173 | Tessanna N Tomaganuk-moses | Community Health Worker | 101 Airport Road, Hooper Bay, AK 99604 | 2018-03-12 |
| 1376078899 | Pauline Mann | Community Health Worker | 101 Airport Road, Hooper Bay, AK 99604 | 2017-04-21 |
| 1275068793 | Michael Compton | Community Health Worker | 101 Airport Road, Hooper Bay, AK 99604 | 2017-04-21 |
| 1952835621 | Marissa Tomaganuk | Community Health Worker | 101 Airport Road, Hooper Bay, AK 99604 | 2017-04-19 |
| 1265709810 | Tambre L Guido | Technician, Other | 49 Airport Road, Hooper Bay, AK 99604 | 2011-11-28 |
| 1194914663 | Deanne Tomlinson | Counselor | 1 Clinic Rd, Hooper Bay, AK 99604 | 2007-10-19 |
| 1003837493 | Sandra Lee Beeman | Physician Assistant | Airport Road, Ykhc, Hooper Bay, AK 99604-0049 | 2006-07-21 |
| Find all providers in zip 99604 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
| 1538541693 | Amanda Miles | Dental Therapist | 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 | 2015-06-25 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| 1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
| 1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
| 1336783075 | Allison Kristi Wasuli | Dental Therapist | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-11-06 |
| 1609345677 | Samantha Sparks | Dental Therapist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-11-19 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| 1881160570 | Leandra Beech | Dental Therapist | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
| City | HOOPER BAY |
| Zip Code | 99604 |
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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.