Organization Active NPI

M Paige DDS & JM Bressler DDS at Wasilla LLC

  • General Practice Dentistry
  • Wasilla, AK
National Provider Identifier
1104210129
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
M PAIGE DDS & JM BRESSLER DDS AT WASILLA LLC
Practice address
701 E Parks Hwy Ste 209
Wasilla, AK 99654
Phone
(907) 376-3368
Fax
(907) 376-3364
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Matthew Paige, DDS
Title
Owning Dentist
Phone
(907) 376-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X AK Primary

Addresses

Primary practice location

701 E Parks Hwy Ste 209
Wasilla, AK 99654

Mailing address

701 E Parks Hwy Ste 209
Wasilla, AK 99654
Phone (907) 376-3368

National Provider Directory

National Provider Directory

Locations

701 E Parks Hwy
Ste 209
Wasilla, AK 99654
Phone (253) 370-6653

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1104210129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E PARKS HWY STE 209",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-376-3368",
            "fax_number": "907-376-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E PARKS HWY STE 209",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-376-3368",
            "fax_number": "907-376-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PAIGE DDS & JM BRESSLER DDS AT WASILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNING DENTIST",
        "authorized_official_telephone_number": "907-376-3368",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.