Linsenmayer Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

168 Issued in AK

Legal business name

LINSENMAYER DENTISTRY, LLC

Practice address

21 Jefferson Way Ste 102
Ketchikan, AK 99901-5951

Phone

(907) 220-9231

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kristi Linsenmayer, DDS MPH MSD

Title

Dentist

Phone

(206) 920-1046

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1093945131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WARD ST # 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093981",
            "telephone_number": "206-920-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JEFFERSON WAY STE 102",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015951",
            "telephone_number": "907-220-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINSENMAYER DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "LINSENMAYER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-920-1046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MPH MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "7075",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "1287",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5017983",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1639352560",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDGO25",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey Lee Lesser, PA.
• Dainee Blouix Lewis
• Jadyn Lewis
• Karina Licon
• Diane L Liljegren, MD
• Leslie Amanda Locklear, FNP-C
• Jean Paulin E Lockulu, MSW
• Owen Gunnar Loscar
• Louis E Kleager MD ENT PC
• Lisa Louise Luck, MS

• Pediatric Dentistry in Ketchikan, AK
• Providers in Ketchikan, 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 19, 2011; 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.