Organization Active NPI

Alaska Facial Plastic Surgery & ENT

  • Otolaryngology/Facial Plastic Surgery Physician
  • Wasilla, AK
National Provider Identifier
1114548351
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
ALASKA FACIAL PLASTIC SURGERY & ENT
Practice address
3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273
Phone
(907) 522-3006
NPI assigned
Apr 28, 2020
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Dr. Christina Magill, MDNPI 1043340185
Title
President
Phone
(314) 422-9716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Primary

Addresses

Primary practice location

3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273

Mailing address

PO Box 75045
Chicago, IL 60675-5045
Phone (907) 600-0030

Other practice location 1

3340 Providence Dr # A363
Anchorage, AK 99508-4691
Phone (907) 671-6017

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chrism@alyeskaent.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200625001695 AK Part B Supplier - Clinic/Group Practice 6002238771 Receives reassigned benefits from 3 practitioners
Practice locations: Anchorage, AK; Wasilla, AK

National Provider Directory

National Provider Directory

Locations

3340 Providence Dr
#A363
Anchorage, AK 99508
Phone (907) 600-0030

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1114548351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75045",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755045",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547273",
            "telephone_number": "907-522-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Providence Dr # A363",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084691",
            "country_code": "US",
            "telephone_number": "907-671-6017",
            "fax_number": "907-313-6857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALASKA FACIAL PLASTIC SURGERY & ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "MAGILL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-422-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chrism@alyeskaent.com",
            "affiliation": "N",
            "endpointDescription": "direct message system",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "intraoffice communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "intraoffice and patient communicaiton system",
            "address_1": "3719 E Meridian Loop Ste E",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.