Active NPI
Kianna Jenae Wika, DDS
- Dentist
- Anchorage, AK
National Provider Identifier
1356082564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 196842
- Practice address
- 4441 Diplomacy Dr
Anchorage, AK 99508-5910 - Phone
- (907) 729-2000
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 196842 | AK | Primary |
Addresses
Primary practice location
4441 Diplomacy Dr
Anchorage, AK 99508-5910
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-9989
Other practice location 1
Alaska Native Medical Center 4141 Ambassador Drive
Anchorage, AK 99508
Phone (907) 729-4955
Other practice location 2
4341 Tudor Centre Dr Ste 100
Anchorage, AK 99508-5904
Phone (907) 729-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196842 | AK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients |
Locations
4441 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-2000
Interoperability endpoints
- kwika@direct.scf.cc
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1356082564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071262",
"telephone_number": "907-729-9989",
"fax_number": "907-729-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085910",
"telephone_number": "907-729-2000"
}
],
"practiceLocations": [
{
"address_1": "Alaska Native Medical Center 4141 Ambassador Drive",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "99508",
"country_code": "US",
"telephone_number": "907-729-4955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4341 Tudor Centre Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085904",
"country_code": "US",
"telephone_number": "907-729-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIKA",
"first_name": "KIANNA",
"middle_name": "JENAE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "196842",
"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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.