Spalding Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1353 Issued in AK

Legal business name

SPALDING DENTAL LLC

Practice address

4127 Vista CT
Anchorage, AK 99508-5729

Phone

(509) 680-4396

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Shannon Spalding, DMD

Title

Member

Phone

(509) 680-4396

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Charles Scott Spalding, D.M.D.

  • Dentist
  • Anchorage, AK
  • NPI 1609100601
  NPD (past)

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1316280753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 VISTA CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085729",
            "telephone_number": "509-680-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 VISTA CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085729",
            "telephone_number": "509-680-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPALDING DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-680-4396",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1353",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly B Southworth, MD
• Carol E Souza
• Peter Sovula
• Katarzyna Sowa
• Jessica Lynne Sowinski, PHARMD
• Charles Scott Spalding, D.M.D.
• Patricia C Spalding, ANP
• Shannon Joy McGrane Spalding, DMD
• Kristin Horton Spanaus, PTA
• Courtney Spann

• Dental Clinic/Center in Anchorage, AK
• Providers in Anchorage, 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 Apr 4, 2013; 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.