Resl LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RESL LLC

Practice address

121 W Fireweed LN Ste 280
Anchorage, AK 99503-2035

Phone

(907) 258-7060

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Scott Lyke, DMDNPI 1659560969

Title

Owner

Phone

(971) 221-2784

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Aurora Family Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 3

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

• Scott Wilson Lyke, D.M.D.

  • Dentist
  • Anchorage, AK
  • NPI 1659560969
  NPD Authorized official
• Paul A Biederman, D.D.S.

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1154523587
  NPD (past)
• Jaimie M Lyke, DMD

  • Dentist
  • Anchorage, AK
  • NPI 1285967471
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1386232015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032035",
            "telephone_number": "907-258-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032035",
            "telephone_number": "907-258-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "LYKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-221-2784",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285967471",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073892881",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518076686",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659560969",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lykedentistry.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "121 W Fireweed Ln Ste 280",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995032035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aurora Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

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