NPIMap

Organization Active NPI

Sunshine Community Health Center, Inc

Doing business as Sunshine Communith Health Willow Dental Clinic

  • Dental Clinic/Center
  • Willow, AK
National Provider Identifier
1528463304
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
77895 Issued in AK
Legal business name
SUNSHINE COMMUNITY HEALTH CENTER, INC
Doing business as
Sunshine Communith Health Willow Dental Clinic
Practice address
24091 W Long Lake Rd
Willow, AK 99688-0519
Phone
(907) 733-2273
Fax
(907) 733-1735
NPI assigned
Oct 23, 2014
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Amanda Simpson
Title
Credentailing Specialist
Phone
(907) 733-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 77895 AK Primary

Addresses

Primary practice location

24091 W Long Lake Rd
Willow, AK 99688-0519

Mailing address

24091 W Long Lake Road
Willow, AK 99688-9999

Other names 1

  • Sunshine Communith Health Willow Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Community Health Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1528463304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24091 W LONG LAKE ROAD",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "996889999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24091 W LONG LAKE RD",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "996880519",
            "telephone_number": "907-733-2273",
            "fax_number": "907-733-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTAILING SPECIALIST",
        "authorized_official_telephone_number": "907-733-2273"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "77895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Communith Health Willow Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.