Molar Bear Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MOLAR BEAR PEDIATRIC DENTISTRY LLC

Practice address

609 S Knik Goose Bay Rd Ste D
Wasilla, AK 99654-8079

Phone

(907) 376-6527

NPI assigned

Aug 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher G Rosenvall, DDSNPI 1891080776

Title

Ceo

Phone

(801) 592-7595

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christopher Greg Rosenvall, D.D.S.

  • Pediatric Dentistry
  • Eagle River, AK
  • NPI 1891080776
  NPD Authorized official

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1093326308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S KNIK GOOSE BAY RD STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548079",
            "telephone_number": "907-376-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S KNIK GOOSE BAY RD STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548079",
            "telephone_number": "907-376-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLAR BEAR PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "ROSENVALL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-592-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility Solutions of Alaska
• Christopher Mobley, LPN
• Luanne Moeller, RN
• Andrew Moffitt, PSS III, CDCS, SAP
• Niko Emile Mogar
• Charity Rose Molnar, MASSAGE THERAPIST
• Matthew Anthony Monaco, DDS
• Melinda Rose Monette, DPT, PT
• Jessica Corinne Monroe
• Jill Marie Monroe, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.