Tundra Kids Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1003 Issued in AK

Legal business name

TUNDRA KIDS DENTISTRY LLC

Practice address

1000 Greg Kruschek Ave.
Nome, AK 99762

Phone

(907) 443-3309

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christine A Roalofs, DMD

Title

Pediatric Dentist

Phone

90072325135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1487025268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 GLACIER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083723",
            "telephone_number": "907-232-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREG KRUSCHEK AVE.",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNDRA KIDS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "ROALOFS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "90072325135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammarie Toolie
• Audrey Renee Topkok, CHA-T
• Hayley Topkok
• Jordan Trezza, MD
• Tundra Health Initiative Corp
• Laurent Turgeon-Dharmoo, M.A.
• Jerliyn Turner
• Rachel Melinda Turner
• Hilary Ungott
• Skyley Ungwiluk

• Pediatric Dentistry in Nome, AK
• Providers in Nome, AK by specialty
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.