Ninilchik Family Dentistry P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1095 Issued in AK

Legal business name

NINILCHIK FAMILY DENTISTRY P.C.

Practice address

66334 Aspen St.
Ninilchik, AK 99639

Phone

(907) 567-4444

Fax

(907) 567-4446

NPI assigned

Feb 17, 2009

Last updated

Feb 17, 2009By 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

Ms. Zestivinal Zoubek, DDSNPI 1346260296

Title

Owner

Phone

(907) 567-4444

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, and the practitioner matching its NPPES authorized official.

• Zestivinal Zoubek, DDS

  • General Practice Dentistry
  • Ninilchik, AK
  • NPI 1346260296
  NPD (past) Authorized official

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1316186281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 39450",
            "city": "NINILCHIK",
            "state": "AK",
            "postal_code": "99639",
            "telephone_number": "907-567-4444",
            "fax_number": "907-567-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66334 ASPEN ST.",
            "city": "NINILCHIK",
            "state": "AK",
            "postal_code": "99639",
            "telephone_number": "907-567-4444",
            "fax_number": "907-567-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINILCHIK FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "ZOUBEK",
        "authorized_official_first_name": "ZESTIVINAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-567-4444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD7097",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Happy Valley Assisted Living LLC
• Judith Annette Hubbard
• Allen Ma, PT, DPT
• Heather Marratt
• Ninilchik Emergency Services
• Ninilchik Senior Citizens, Inc.
• Ninilchik Village (NTC Community Clinic)
• Danielle Lee Self, LMSW
• Michelle Shepard
• Sarah C Spencer, DO

• General Practice Dentistry in Ninilchik, AK
• Providers in Ninilchik, 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 Feb 17, 2009; 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.