Valley Neighborhood Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALLEY NEIGHBORHOOD DENTAL CENTER

Practice address

304 W Evergreen Ave Ste 101B
Palmer, AK 99645-6970

Phone

(907) 745-1966

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rex Malcom, DMDNPI 1255454815

Title

Owner

Phone

(907) 602-8649

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rex C. Malcom, PHARM. D, DMD

  • Dentist
  • Anchorage, AK
  • NPI 1255454815
  NPD Authorized official

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1265009377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W EVERGREEN AVE STE 101B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456970",
            "telephone_number": "907-745-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W EVERGREEN AVE STE 101B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456970",
            "telephone_number": "907-745-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEIGHBORHOOD DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "MALCOM",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-602-8649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodelmiro Valdez, CMT
• Jill Valerius, MD
• Valley Allergy and Asthma Clinic, LLC
• Valley Kids Pediatric Speech-Language Therapy, LLC
• Valley Medical Center Inc
• Valley Pediatric Dentistry
• Valley Radiation Oncology
• Valley Surgical Associates, Inc
• Lorri Ann Van Diest, LPC
• Trevor Van Oostrom, M.D.

• All providers in Palmer, AK
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.