NPIMap

Organization Active NPI

Denali Dental Care

Doing business as Excellence in Dentistry

  • Preferred Provider Organization
  • Anchorage, AK
National Provider Identifier
1326580002
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
10691 Issued in CO
Legal business name
DENALI DENTAL CARE
Doing business as
Excellence in Dentistry
Practice address
625 E 34TH Ave
Suite 200
Anchorage, AK 99503-4154
Phone
(907) 274-7691
Fax
(907) 277-6142
NPI assigned
Nov 10, 2016
Last updated
Nov 10, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
EXCELLENCE IN DENTISTRY PUEBLO ONEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Kendall B Skinner, DMD
Title
Owner
Phone
(907) 274-7691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 10691 CO Primary

Addresses

Primary practice location

625 E 34TH Ave
Suite 200
Anchorage, AK 99503-4154

Mailing address

625 E 34TH Ave
Suite 200
Anchorage, AK 99503-4154
Phone (907) 274-7691

Other names 1

  • Excellence in Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Excellence in Dentistry of Pueblo One PLLC

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1326580002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 34TH AVE",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034154",
            "telephone_number": "907-274-7691",
            "fax_number": "907-277-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 34TH AVE",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034154",
            "telephone_number": "907-274-7691",
            "fax_number": "907-277-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELLENCE IN DENTISTRY PUEBLO ONE",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-274-7691",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "10691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellence in Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2016; 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.