Family Medical Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

978293 Issued in AK

Legal business name

FAMILY MEDICAL DENTAL CENTER LLC

Practice address

4361 Boniface Pkwy
Anchorage, AK 99504-4316

Phone

(907) 333-1211

Fax

(907) 333-8600

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Janice Knight

Title

Executive Director

Phone

(907) 333-1211

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1457609083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 BONIFACE PKWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044316",
            "telephone_number": "907-333-1211",
            "fax_number": "907-333-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 BONIFACE PKWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044316",
            "telephone_number": "907-333-1211",
            "fax_number": "907-333-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-333-1211"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "978293",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AK",
            "license": "978293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Chiropractic Center
• Family Diabetes Clinic
• Family Eye Care Center, Inc.
• Family First Dentistry
• Family Health and Wellness Inc.
• Family Medical Dental Center of Alaska Inc
• Family Practice Associates LLC
• Family Sleep Clinics, LLC
• Family Vision Center
• Family Vision Center

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.