Dennis Patrick Serie, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

633 Issued in AK

Practice address

22742 Oberg Rd
Chugiak, AK 99567-5495

Phone

(907) 854-8452

Fax

(907) 222-4641

NPI assigned

Jul 1, 2006

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bore Tide Services, LLC

  • Physician Assistant
  • Chugiak, AK
  • NPI 1831411826
  NPD (past)
• Jeffrey S. Moore MD and Elisha T. Powell IV MD LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Anchorage, AK
  • NPI 1467502567
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1063441178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671764",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995671764",
            "telephone_number": "907-854-8452",
            "fax_number": "907-222-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22742 OBERG RD",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675495",
            "telephone_number": "907-854-8452",
            "fax_number": "907-222-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIE",
        "first_name": "DENNIS",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDA0081",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Sardakowski
• Danielle Lynn Schmaltz, PT
• Sheri Scholljegerdes
• Jennie Schroll, LCSW
• Matthew Schuette
• Courtney Shaeffer, OTR/L, IBCLC
• Zulene O. Simmons, ANP
• Shakeria Lashawnda Smith, LMT
• Natalie Snyder, DPT
• Southcentral Foundation (Eklutna BH)

• Medical Physician Assistant in Chugiak, AK
• Providers in Chugiak, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.