Valley Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

991 Issued in AK

Legal business name

VALLEY DENTAL CLINIC

Practice address

935 E Westpoint Dr Ste 201
Wasilla, AK 99654-7181

Phone

(907) 376-3884

Fax

(907) 373-7500

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Wade Robinson III, DMDNPI 1578586160

Title

Owner

Phone

(907) 376-3884

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Robert W Robinson III, D.M.D

  • General Practice Dentistry
  • Wasilla, AK
  • NPI 1578586160
  NPD (past) Authorized official
• Claire Beverly Burows, DMD

  • Dentist
  • Louisville, KY
  • NPI 1114250586
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1437419447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E WESTPOINT DR STE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547181",
            "telephone_number": "907-376-3884",
            "fax_number": "907-373-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E WESTPOINT DR STE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547181",
            "telephone_number": "907-376-3884",
            "fax_number": "907-373-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-3884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD2628",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Utopia LLC
• John F. Vachal, P.T.
• Colin Valdez, L.M.T.
• Valley Care Coordination (Desiree Ortega)
• Valley Chiropractic Clinic, Inc
• Valley Dermatology Center, Inc.
• Valley Eye Associates, PC
• Valley Medical Supply
• Valley Orthodontics LLC
• Valley Orthopedic Surgery PC Dr Charles J Kase MD PC

• Dentist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.