Lupine Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUPINE DENTAL LLC

Doing business as

Lupine Dental LLC

Practice address

3765 E Blue Lupine Dr
Suite a
Wasilla, AK 99654

Phone

(907) 215-4223

NPI assigned

Jul 6, 2022

Last updated

Jul 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kris Gurr, DMDNPI 1427497940

Title

Owner

Phone

(907) 376-9200

Specialties & licenses 1

Addresses

Other names 1

• Lupine Dental LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kris Gurr, DDS

  • Dentist
  • Mesa, AZ
  • NPI 1427497940
  NPD Authorized official
• James Goodwin Hall, DDS

  • General Practice Dentistry
  • Wasilla, AK
  • NPI 1881583623
  NPD

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1518690676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 E MERIDIAN PARK LOOP STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547264",
            "telephone_number": "907-376-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 E BLUE LUPINE DR",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-215-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUPINE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "GURR",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lupine Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Marie Lufkin, LPN
• Bradley D Lundell
• Cheryl L Lundy, LCSW
• Jonathan F Lundy, PSYD
• Molly Lee Lunsford, CNM, WHNP-BC, RN
• Luxottica Retail North America Inc (Sears Optical #1132)
• Luxury Assisted Living LLC
• Lynx Medical Services Organization (Alaska Vein Care)
• Lynx Medical Services Organization (Capstone Family Medicine)
• Rebecca Lyrenmann, CCC-SLP

• Dental Clinic/Center in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.