Chena Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHENA DENTAL CARE LLC

Practice address

2933 Horseshoe Way
North Pole, AK 99705-6139

Phone

(907) 488-0861

Fax

(907) 488-3141

NPI assigned

Nov 11, 2019

Last updated

Nov 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin E Hadfield, DDS

Title

Owner

Phone

(907) 488-0861

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Eric P Buetow, DDS

  • Dentist
  • North Pole, AK
  • NPI 1174695803
  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1194360487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 HORSESHOE WAY",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056139",
            "telephone_number": "907-488-0861",
            "fax_number": "907-488-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 HORSESHOE WAY",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056139",
            "telephone_number": "907-488-0861",
            "fax_number": "907-488-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENA DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "HADFIELD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-488-0861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811215601",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174695803",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vance Canoy
• Jesse Daniel Carpenter
• Carr-Gottstein Foods Co (Safeway Pharmacy #1821)
• Carr-Gottstein Foods Co (Safeway Pharmacy #1821)
• Marcia Ann Chambers
• Jessica Marie Childress
• Choice Care LLC
• Christopher Olsen, DDS LLC (Alaska Interior Dentistry)
• City of North Pole (North Pole Fire Department)
• Elizabeth D Cleveland

• Dental Clinic/Center in North Pole, AK
• Providers in North Pole, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.