Lakeview Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

348 Issued in AK

Legal business name

LAKEVIEW DENTAL ASSOCIATES

Practice address

851 E Westpoint Dr Ste 112
Wasilla, AK 99654-7183

Phone

(907) 376-4415

NPI assigned

Jan 18, 2008

Organization subpart

Yes

Parent organization

B&K DANIEL ENTERPRISES, INC.As reported in NPPES

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

Authorized official

Name

Jean Kingslien

Title

Office Manager

Phone

(907) 376-4415

Specialties & licenses 2

Addresses

Part of

Lakeview Dental Associates

Practitioners 1

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

• Ben T. Kolean, DDS

  • Dentist
  • Wasilla, AK
  • NPI 1134272768
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1023294113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR STE 112",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547183",
            "telephone_number": "907-376-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR STE 112",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547183",
            "telephone_number": "907-376-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B&K DANIEL ENTERPRISES, INC.",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "KINGSLIEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-376-4415"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "348",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellisa Lacy, LPN
• Matthew A Ladner
• Leslie Lajeunesse, APRN
• Lake Haven Homes, LLC
• Lakes Medical Clinic
• Lakeview Professional Dental Associates Inc.
• Haley Laliberte
• Conor Lally
• Taylor Midgette Lamade, DPT, PT
• Brittany Ann Lambing, FNP-C, PMHNP

• Dentist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.