Bitesize Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BITESIZE PEDIATRIC DENTISTRY, LLC

Practice address

44539 Sterling Hwy Ste 208
Soldotna, AK 99669-7960

Phone

(907) 222-2483

Fax

(907) 929-2483

NPI assigned

Oct 20, 2020

Last updated

Oct 20, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BITESIZE PEDIATRIC DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Samantha Rose Mize, DDSNPI 1730633363

Title

Owner/Pediatric Dentist

Phone

(907) 222-2483

Specialties & licenses 1

Addresses

Tax ID family

Bitesize Pediatric Dentistry LLC2 organizations share this tax ID, including this one

Part of

Bitesize Pediatric Dentistry LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bitesize Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Anchorage, AK
  • NPI 1124673165
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bitesize Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Anchorage, AK
  • NPI 1124673165
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Mize, D.D.S.

  • Dentist
  • Charleston, SC
  • NPI 1730633363
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1083213128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 ARLON ST STE A2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073876",
            "telephone_number": "907-222-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44539 STERLING HWY STE 208",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697960",
            "telephone_number": "907-222-2483",
            "fax_number": "907-929-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITESIZE PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BITESIZE PEDIATRIC DENTISTRY, LLC",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "907-222-2483",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci L Bicknell
• Derrick Bignell
• Jeanne Bignell
• Binkley Street Dental Clinic PC
• Lydia Anna Bird, LPC, MAC
• Angelica Marie Blake, FNP
• Michael Todd Blake, DO
• Victoria M Blakeslee
• Blossom Care Coordination LLC (Blossom Care Coordination)
• David Blossom, PHARMD

• Pediatric Dentistry in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.