Alice Shantz

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

432920 Issued in AK

Legal business name

ALICE SHANTZ

Doing business as

Tundra Suites, LLC

Practice address

473 Ridgecrest Drive
Box 1915
Bethel, AK 99559-1915

Phone

(907) 543-3232

Fax

(907) 543-1443

NPI assigned

Apr 27, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alice S Shantz

Title

Owner

Phone

(907) 543-3232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TUNDRA SUITES, LLC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1013137348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1915",
            "address_2": "473 RIDGECREST DRIVE",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591915",
            "telephone_number": "907-543-3232",
            "fax_number": "907-543-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 RIDGECREST DRIVE",
            "address_2": "BOX 1915",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591915",
            "telephone_number": "907-543-3232",
            "fax_number": "907-543-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE SHANTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "SHANTZ",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-543-3232"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lodging",
            "state": "AK",
            "license": "432920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HM3180",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUNDRA SUITES, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally Alexie
• Sharon Alexie
• Stella Alexie
• Thomas Leroy Alexie
• Wesley C. Alexie
• Stacy Mae Alick
• Tyrone Aliralria
• Robert John Allen, D.D.S.
• Edwin Henry Allgair Jr., DDS
• Bessie Aloralrea

• Lodging Provider in Bethel, AK
• Providers in Bethel, AK by specialty
• Lodging Provider in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.