Family Medical Dental Center of Alaska Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29368 Issued in AK

Legal business name

FAMILY MEDICAL DENTAL CENTER OF ALASKA INC

Practice address

4361 Boniface Pkwy
Anchorage, AK 99504-4316

Phone

(907) 333-1211

Fax

(907) 333-8600

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Meledath Gopinath

Title

President

Phone

(425) 869-2238

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Lauren Gagliano, DDS

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1417109265
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1104996214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210549",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995210549",
            "telephone_number": "907-333-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 BONIFACE PKWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044316",
            "telephone_number": "907-333-1211",
            "fax_number": "907-333-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL DENTAL CENTER OF ALASKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "GOPINATH",
        "authorized_official_first_name": "MELEDATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-869-2238",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "29368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "29368",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Diabetes Clinic
• Family Eye Care Center, Inc.
• Family First Dentistry
• Family Health and Wellness Inc.
• Family Medical Dental Center LLC
• Family Practice Associates LLC
• Family Sleep Clinics, LLC
• Family Vision Center
• Family Vision Center
• Family Vision Center South

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.