NPIMap

Organization Active NPI

Rowena Mandanas, DDS, Inc

  • Dentist
  • Anchorage, AK
National Provider Identifier
1245574078
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1201 Issued in AK
Legal business name
ROWENA MANDANAS, DDS, INC
Practice address
121 W Fireweed LN
Ste 200
Anchorage, AK 99503-2053
Phone
(907) 276-5522
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Rowena MandanasNPI 1548342074
Title
President
Phone
(907) 276-5522

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1201 AK Primary

Addresses

Primary practice location

121 W Fireweed LN
Ste 200
Anchorage, AK 99503-2053

Mailing address

121 W Fireweed LN
Ste 200
Anchorage, AK 99503-2053

National Provider Directory

National Provider Directory

Locations

121 W Fireweed Ln
Ste 200
Anchorage, AK 99503
Phone (907) 276-5522

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1245574078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN",
            "address_2": "STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN",
            "address_2": "STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032053",
            "telephone_number": "907-276-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWENA MANDANAS, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "MANDANAS",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-276-5522"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.